The following Q&A comes from the Centers for Medicare & Medicaid Services website. Q: What is the payment policy for an Astigmatism-Correcting Intraocular Lens (A-C IOL) inserted following removal of a cataract in a hospital or Ambulatory Surgical Center…
ASC Coding, Billing & Collections
The Office of the Inspector General has released new physician educational materials to assist in teaching physicians about federal laws designed to protect Medicare and Medicaid from waste, fraud and abuse, according to an AAPC release.
NHIC will allow no greater than two units for HCPCS Level II code J9035 Injection, bevacizumab, 10 mg per patient per date of service, effective for services rendered on or after Feb. 1, according to an AAPC release.
Rep. Lynn Luker (R-Boise) of Idaho has proposed a bill to limit state-funded medical procedures for patients who don't pay their medical bills, according to an Idaho Reporter report.
Payments to out-of-network providers by Blue Cross plans in Texas and Illinois, by UnitedHealth Group in New York and by Aetna for some policies are dropping to Medicare levels, no longer honoring the providers' "usual, customary and reasonable" rates, according…
Advertisement
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The following was written by Sumit Gandhi, CPC, associate vice-president of medical coding for GENASCIS. The AMA announced the…
The following article is written by I. Naya Kehayes, MPH, managing principal & CEO of EVEIA HEALTH. What should you do when a payor notifies you that it is changing its payment system from a Medicare-grouper methodology to an…
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Rosalind Richmond, chief coding and compliance officer of GENASCIS, which provides revenue cycle services and supporting technologies for surgery centers,…
Due to changes that have gone into effect, including the Affordable Care Act revisions to the 2010 Medicare physician fee schedule and corrections to the MPFS, a large number of Medicare fee-for-service claims will undergo reprocessing to readjust inaccurate payments,…
There are significant changes to the Current Procedural Terminology codes for orthopedic and spine surgeons in 2011, according to an article in AAOS Now.