Following reports that some CMS carriers were not recognizing the -PT modifier for ASC claims, the Ambulatory Surgery Center Association is reporting the carriers are now beginning to process these claims correctly.
ASC Coding, Billing & Collections
The following Q&A comes from the Centers for Medicare & Medicaid Services website. Q: What codes should hospitals, ambulatory surgery centers and physicians use to report astigmatism-correcting intraocular lenses (A-C IOLs) or procedures and services related to an A-C…
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…
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.
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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…
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,…