Jul 23rd, 2013
By Marilyn Holley, CPC, CPC-I, RHIT, CHISP It’s as easy, or as hard, as 1, 2, 3. Successful coding and billing for surgical assistants depends on three principal factors: Does the payer allow additional reimbursement for surgical assistance for the reported procedure? Has the surgeon sufficiently documented the need for and role of the surgical ...
Jul 1st, 2013
Cardiovascular and ophthalmology technical service providers will feel the penny pinch. By Uma Nachiappan, CPC, CCS Effective Jan. 1, 2013, the Centers for Medicare & Medicaid Services (CMS) expanded its Multiple Procedure Payment Reduction (MPPR) policy to cover diagnostic cardiovascular and ophthalmology procedures. Providers rendering the technical component (TC) of such services can expect ...
Jul 1st, 2013
Know how insurers account for physician payment. By Julia Croly, MPA, CPC, CPC-P, CPC-I, A fee schedule is the maximum fee determined as acceptable by the payer for a procedure or service, and which the provider agrees to accept as payment in full. It may also be called a fee allowance, fee maximum, or capped ...
Jul 1st, 2013
Check your state’s scope-of-practice requirements for podiatrists allowed to treat gastrocnemius equinus. By Angela Clements, CPC, COSC A change in the scope of practice for podiatric physicians in Louisiana now allows for above-the-ankle treatment—making the Pelican State the 44th state to permit podiatrists to treat at or above the ankle. For patients, the wider scope ...
Jul 1st, 2013
The “new” code set will bring back end workflow changes; prepare now to save money later. By Yvonne Dailey, CPC, CPC-I, CPB The Centers for Medicare & Medicaid Services (CMS) is holding firm on the ICD-10-CM implementation date of Oct. 1, 2014. Although we don’t know exactly what affect the code set change will have ...