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carve-out negotiation

R
Wiki Negotiating reimbursement for unlisted procedure: Endoscopic Gastrocnemius Release (EGR)

Has anyone had any luck in negotiating reimbursement for Endoscopic Gastrocnemius Release (EGR), reported with code 29999: Unlisted procedure, arthroscopy? The process is the same for all unlisted codes when negotiating for reimbursement so the specific procedure is not as important as the...
- ritecode
- Thread
- Sep 28, 2021
- 29999 carve-out negotiation endoscopic gastrocnemius release egr gastroc re office-based surgical suite (obss) podiatry surgery unlisted code
- Replies: 0
- Forum: Podiatry
R
Wiki Negotiating for office overhead when Site of Service Differential (SOSD) = zero?

Does anyone have any experience with contract negotiations for surgical procedures, which are typically performed in a facility (SOSD=0), and are now performed in an OBSS (Office-Based Surgical Suite)? The POS is now 11. This is growing in popularity in orthopedics (hand and wrist), podiatry...
- ritecode
- Thread
- Mar 24, 2021
- ambulatory surgery center (asc) carve-out negotiation fac pe rvus non-fac pe rvus office-based surgery reimbursement office-based surgical suite (obss) orthopedics overhead reimbursement sosd (site-of-service differential) walant
- Replies: 3
- Forum: General Discussion

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