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New payment rates are effective immediately. The Medicare payment amount for administering the COVID19 vaccine is increased effective March 15 2021. The national average for physicians hospitals pharm... [ Read More ]
Are you working off the latest list of codes applicable for modifier CS During the public health emergency PHE for COVID19 patients Medicare Part B cost sharing coinsurance and deductible is waived fo... [ Read More ]
In a final rule CMS expands telehealth coverage but enforces budget neutrality mandate. After a slight delay the Centers for Medicare 38 Medicaid Services CMS has finalized 2021 payments and policies ... [ Read More ]
Document records 12:34 is the start of medication being given by RN. At 1:04 the CRNA starts the Propofol and ends at 1:20. The reason stated is below. Do I bill under the CRNA using the total time ... [ Read More ]
Looking for any guidelines on how to code SPANK (sensory posterior articular nerve of knee)? Provider(anesthesiologist)is performing for post-op pain management following total knee surgery and is u... [ Read More ]
I'm being asked to add the RT or LT modifiers to anesthesia codes for the following insurances: Harvard Pilgrim, UHC, & BCBS of MA.
In my 25 years of billing anesthesia, I've never us... [ Read More ]
I have a provider that has 3 concurrent cases (1 personally performed, 2 involving residents). Based on CMS' guidelines, each would meet the payment at "Personally Performed Rate"... [ Read More ]
I don't teach anesthesia coding often so I'm stumped on this one.
Can someone please help me identify what I am misunderstanding or missing?
Base unit: 6
Time: 60 minutes (15 minutes x 4)
Modifying ... [ Read More ]
Some input on this claim would be greatly appreciated. I'm having a hard time finding a dx that MMO will pay on this procedure. Diagnosis used: M46.1, M53.3, M47.817. Everything I'm finding is showing... [ Read More ]
I work in the billing department of a pain management office. We are having issues with Blue Cross taking back money for J codes that are billed out when we refill the pumps.
Does anyone out in ... [ Read More ]
So, I have been getting denials for 95972 when billed with SCS implant. I've tried billing this with modifier -51 or -59 with no luck. The insurances keep denying as inclusive, I'm thinking there mayb... [ Read More ]
Our office just started doing a bit of MAC in the office for HDR services, I am running into a bit of problems with insurance companies. We bill anesthesia codes with corresponding modifiers (... [ Read More ]
Hello! I am new to anesthesia coding. I didn't see this topic addressed previously. Any help be greatly appreciated.
Our anesthesiologist indicates a break in supervision time (15 minutes break, fo... [ Read More ]