Jul 18th, 2014
Medicare’s 2015 Physician Fee Schedule Proposed Rule, published in the July 11 Federal Register, outlines the Center for Medicare & Medicaid Services’ plan to expand public reporting via the Physician Compare website in the coming years. The first phase of Physician Compare website, launched December 30, 2010 included the names of eligible providers (EPs) who satisfactorily ...
Jul 11th, 2014
Medicare’s 2015 Physician Fee Schedule Proposed Rule includes a plan to eliminate 10- and 90-day global periods for all CPT® procedure codes, beginning in 2017. If adopted, the plan would radically change how the Centers for Medicare & Medicaid Services (CMS) values procedures, as well as how it pays for post-procedure follow up. Section II.B.4 ...
In Audit
Dec 14th, 2012
By Suzan Berman, CPC, CEMC, CEDC Mid-level providers (MLPs), such as physician assistants (PAs), nurse practitioners (NPs), and nurse specialists (NSs) are used to fill in gaps in practices, helping physicians with a busy patient load, but how do you assure you are getting proper reimbursement for their expertise? Medicare recognizes and reimburses MLPs for their services using two ...
Jun 29th, 2012
Working on the business side of medicine features a lot of skills that most of the general public will ever know. One feature is that of requesting fee schedules from payers. AAPC Chapter Association (AAPCCA) member Melissa Corral, CPC wrote on this issue in the latest Coding Corner column for Advance for Health Information Professionals. ...
May 1st, 2012
Consult guidance when coding these studies to ensure proper reporting. By Lori M. Shore, CPC, RCC Radiology has arguably had more than its share of bundling recently. Computed tomography (CT) scans of certain separate body parts are no longer separately payable; endovascular revascularization studies are now grouped into all-inclusive territories; and several renal angiography procedures ...