In CMS
Nov 1st, 2018
The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced Nov. 1 they are not going to make changes to payment for evaluation and management (E/M)  services until at least 2021. CMS Administrator Seema Verma said in a press release, “We know ...
In CMS
Jun 12th, 2018
Fifty professional societies and healthcare providers wrote a letter to Seema Verma, the secretary of the Centers for Medicare & Medicaid Services (CMS) asking that the agency reimburse three new CPT codes for remote monitoring. Remote Monitoring More than 99091 While expressing their gratitude that the 2018 Medicare Physician Fee Schedule includes 99091 Physician/healthcare professional collec...
In Billing
May 3rd, 2018
Advocates are seeking to convince the Centers for Medicare & Medicaid Services (CMS) to pay for outpatient care of patients receiving 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery. The new code for 2018 was assigned a fee status of “inpatient only.” This is inconsistent with the current state of practice. Even though the complexity of ...
In Billing
May 1st, 2014
RUC survey says reimbursement is based on pre-service and post-service time components. By Candice Ruffing, CPC, CPB, CENTC It wasn’t until last year, after 15 years of working the business side of medicine, that I began to understand how the value of a CPT® code was developed. Now that I know, I can see the importance of ...
In Billing
Mar 2nd, 2012
One worry providers can set aside is the Medicare pay cut of 27.4 percent that was set to go into effect March 1. Congress and President Obama have approved the “Doc Fix” legislation, postponing cuts until next year. Physician Pay Set Through 2012 was last modified: March 2nd, 2012 by admin aapc...