In Billing
Aug 21st, 2014
When providers report more than a single (non-evaluation and management) procedure during a single encounter, payers typically will reimburse only the highest-valued procedure at full fee schedule value, and will reduce payment for the second and subsequent procedures. This occurs because payers reason that many of the component services that comprise the physician’s work (such ...
Oct 1st, 2012
By Sarah W. Sebikari, MHA, CPC Colorectal cancer is the second leading cause of death in the United States. According to the American Cancer Society, if all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives each year. Colonoscopy is ...
Jun 1st, 2011
You’ll find a wealth of information in this single spreadsheet. The Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value File (RVF) is a free, downloadable spreadsheet that compiles loads of useful information—from global periods to supervision requirements to proper modifier application—in a single, easy-to-navigate resource. Taking advantage of this resou...