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ASC Coding, Billing & Collections

In its 2018 Outpatient Prospective Payment System Proposed Rule, CMS stated it was open to considering adding some cardiac catheterization services, cardiac device programming services and electrophysiology services to its covered surgical procedure list, according to an article Ronald Hirsch, MD,…

Today’s medical technology is complex and expensive. Robotic surgical systems, new implants, novel instruments, and many more are released on seemingly a daily basis. Coding accurately for this new technology is critical, as carriers have a keen interest in auditing…

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A troubling trend among insurance companies is threatening orthopedic ASCs across the country: narrowing payable diagnosis codes for osteoarthritis of the knee. Surgeons need to prove patients have a very specific diagnosis of knee osteoarthritis before payers will preauthorize surgery.…

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