I don't have a specific answer to your question because that's outside my realm of responsibility.
But, before you panic about your reimbursement rate ... look at a couple of possiblities
Have you had a major shift in payer mix (more government payers vs commercial)? Definitely a possibillity with the economy as it is; fewer people with employer-paid health insurance.
Do you have a lot of multiple procedure operative sessions? The second procedure will get a 50% reduction. Depending on the payer, the third and subsequent procedures may get a 75% reduction.
Have you brought on PA or NP who are assisting at surgery (the bill goes out with the same fee, but the reimbursement is only about 16-20%)? One of our divisions brought in 4 PAs last year, all of whom assist at surgery (BIG-dollar surgeries). Charges went WAY up; reimbursement rate took a major hit.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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