2019 was my first AAPC National Conference since 2008. Although there were many big changes since 2008, a few major differences I noticed particularly were that the size of attendance has quadrupled, and the education quality, as well as the food quality has gone up. One of the coolest additions to HEALTHCON since I first ...
In Coding
Apr 21st, 2019
Pain management during the global period of a procedure, if related to that procedure, is not separately reportable. If a provider other than the operating provider performs follow-up care, you must be careful to avoid “unbundling” of that follow-up care. The global period, or global surgical package, bundles all care typically related to surgical service ...
Medical necessity and documentation for these tests must meet both payer requirements and federal guidelines. Pain management drug testing is under the microscope for potential fraud, waste, and abuse. The reasons for scrutiny include misconceptions about what tests should be ordered, and the emergence of “pop-up labs” associated with drug rehabs (often, physicians or groups ...
In Billing
Apr 25th, 2018
Management of epidural or subarachnoid drug administration for post-operative pain relief, reported using CPT® code 01996 Daily hospital management of epidural or subarachnoid continuous drug administration, is not separately payable on the date of surgery, but may be reported only on dates of service following surgery, and only in the hospital inpatient setting (place of service ...
In CMS
Mar 14th, 2018
We’ve seen a surge of Department of Justice (DOJ) takedowns of doctors who committed prescription fraud and abuse of opioid drugs. As prescription opioid addiction grows, so does the crackdown on abuse of federal dollars funding physicians who are feeding patient addiction. On March 9, 63-year-old Jerrold N. Rosenberg, MD, of Rhode Island was sentenced ...