ASC Coding, Billing & Collections

The Centers for Medicare & Medicaid Services has lifted its marketing and enrollment ban on Aetna Medicare, according to an Aetna news release.

Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, recently wrote an article for AAPC that encouraged billers and coders to educate themselves on proper evaluation and management auditing.

The April edition of CMS' Medicare Quarterly Provider Compliance Newsletter clarified recent RAC findings affecting inpatient rehabilitation facilities, physicians, non-physician practitioners, radiology suppliers and inpatient and outpatient hospitals, according to an AAPC report.

Physicians are balking over a proposal to curb the overuse of MRIs and other advanced imaging in Medicare, according to a Kaiser Health News report.

CMS has issued its July 2011 update of the ambulatory surgical center payment system.

Cristina Bentin, CCS-P CPC-H CMA, president of Coding Compliance Management, gave a presentation titled "Coding Inaccuracies That May Put an ASC or Practice at Risk With the OIG and RACs-Pain Management medical Necessity/Over-Reporting, Orthopedic Incorrect Reporting on Knees and Shoulders,…

An AAPC report discusses the correct use of modifier 22 Increased procedural services to increase reimbursement for an especially difficult or time-consuming procedure.

In the May 24 issue of the Centers for Medicare & Medicaid Services' Daily Digest Bulletin, the agency published an article titled, "What You Should Know About the GEMs," according to an AAPC report.

The Justice Department and physicians are at odds over a pending U.S. Supreme Court case that challenges Medicaid cuts to California providers, according to an American Medical News report.

The Texas Medicaid Women's Health Program is scheduled to expire this year, and the Texas Legislature has not yet decided whether to renew it, according to a Reporter News report.