Health insurers' decisions on applications and claims vary widely and are frequently reversed on appeal, according to a report by the Government Accountability Office.
ASC Coding, Billing & Collections
Saying the individual health insurance market is "broken," Blue Shield of California has abandoned a proposal to raise individual premiums by as much as 86.5 percent, according to Blue Shield release.
The following article is written by Caryl A. Serbin, RN, BSN, LHRM, executive vice president and chief strategy officer of SourceMedical. Although most financial analysts are forecasting a continuing slow economic recovery in 2011, some healthcare prognosticators are predicting…
Wolters Kluwer Health has announced Desert Sun Gastroenterology in Tucson, Ariz., has selected its ProVation MD software for gastroenterology procedure documentation and coding.
One in four Americans struggled to pay their medical bills last year, according to a survey by the Commonwealth Fund reported in Kaiser Health News.
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The new outpatient CPT modifier 33 is the "most noteworthy" change in CMS' Outpatient Code Editor Version 12.1, effective April 4, according to an AAPC report.
Medicare Payment Advisory Commission is recommending ambulatory surgery centers receive a 0.5 percent increase and physicians a 1 percent increase in their 2012 Medicare payment rates.
The American Medical Association has updated its CPT 2011 corrections document, adding several grammatical corrections and changes to parenthetical notes and code descriptions, according to an AAPC release.
National Government Services, the jurisdiction B Medicare administrative contractor, reminds providers of durable medical equipment, prosthetics, orthotics and supplies to submit monthly claims for repetitive serves and items in sequence, according to an AAPC release.
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly…