ED Coding and Reimbursement Alert
CMS Makes A Small Technical Correction to the 2016 Conversion Factor
Every penny counts when calculating your Medicare payments The Centers for Medicare & Medicaid Services (CMS) recently announced a $.02 adjustment to the 2016 physician Fee schedule conversion factor, which is now $35.8043 down from the $35.8279 published in the 2016 Medicare fee Schedule final rule in November 2015. It’s not much, but you may wish to recalculate your Medicare payments for 2016. Why: Apparently, CMS made errors in the blending of 2014 utilization data that impacted the practice expense and professional liability insurance inputs for several codes says Michael A Granovsky, MD, FACEP, CPC, President of LogixHealth, a national ED coding and billing company based in Bedford, MA. The revised 2016 Medicare payments appear below:
ED Coding and Reimbursement Alert
- Quality Reporting:
The SGR Is Finally Gone But MIPS Takes Its Place
Along with several new acronyms like VBM and MAV you'll need to know When the [...] - PQRS Specifications for Measure 317
Measure #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Updated [...] - Medicare Conversion Factor:
CMS Makes A Small Technical Correction to the 2016 Conversion Factor
Every penny counts when calculating your Medicare payments The Centers for Medicare & Medicaid Services [...] - Laceration Repairs of the Mouth:
Pay More Than Lip Service to Coding Rules For Mouth Lacerations
Depth of the injury and closure method chosen will drive correct code choice Due to [...] - Reader Question:
It Might Sting A Bit If A Large Bill Is Received for "Just A Shot"
Question: If a patient presents to the ED for just a tetanus shot, can you also [...] - Reader Question:
Location And Extent Of Closure Are Key When Coding Oral Laceration Repairs
Question: Should I be coding an intermediate repair (12011) for a laceration in a patient’s mouth [...] - Reader Question:
Don't Misstep When Dealing with Tarsal Fractures
Question: We had a patient present with a non-displaced tarsal bone fracture, which did not require [...] - Reader Question:
Get the Inside Look At Ultrasound Documentation Requirements
Question: Can we get paid for coding and billing for ultrasound services? Specifically, we are considering [...] - You Be the Coder:
Look for Documentation of Catheter Use Before Coding Thoracentesis
Question: A patient with shortness of breath reports to the ED. The physician documents the pertinent [...]
