In Billing
May 21st, 2010
Only five business days remain before the Continuing Extension Act of 2010 provision that extended the zero percent update to Medicare physician pay rates expires. The American Jobs and Closing Tax Loopholes Act of 2010 (HR 4213), or “extenders bill,” would prevent the 21 percent pay cut from going into effect June 1 and provide payment updates to ...
In Billing
Mar 30th, 2010
By now, every American has probably heard that President Obama signed into law March 23 the Patient Protection and Affordable Care Act (HR 3590). As this bill is approximately 2,700 pages long, however, it’s doubtful anyone has yet read it cover to cover. Your patients, of course, will expect you to know how this health care reform ...
In CMS
Dec 14th, 2009
New HCPCS Level II codes have been created for reporting specific drugs and biologicals in 2010. Twenty-three of the new codes are separately payable to ambulatory surgical centers (ASCs) for service dates on or after Jan. 1, 2010. In addition, 2009 payment rates for six HCPCS Level II codes have been corrected. January 2010 ASC ...
In CMS
Sep 18th, 2009
The Centers for Medicare & Medicaid Services (CMS) proposed Sept. 15 a new prospective payment system (PPS) for facilities and providers that furnish renal dialysis services to Medicare beneficiaries who have end-stage renal disease (ESRD). CMS Proposes Single Payment for ESRD Services was last modified: July 5th, 2011 by admin aapc...
Oct 1st, 2007
Relative value, resource use, reimbursement By M. Julia Croly, MPA, CPC A fee schedule is the fee determined by the payer deemed acceptable for a procedure or service, which the provider agrees to accept as payment in full. It may also be called a fee allowance, fee maximum or capped fee. Insurers use various types ...