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ASC Coding, Billing & Collections

Outpatient spine is still almost entirely out-of-network, but a few payors are beginning to agree to reasonably priced in-network carve-outs. Merritt Healthcare, based in Somers, N.Y., successfully negotiated carve-outs for 16 spine procedures with a payor in Massachusetts. Matt Searles,…

The following article is written by Rosalind Richmond, chief coding and compliance officer for GENASCIS. CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.   It gets hard to say…

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Workers compensation cases are a great fit for orthopedic-based ambulatory surgery centers, says John DiPaola, MD, an orthopedic surgeon at Occupational Orthopedics in Tualatin, Ore. In fact, his practice is exclusively limited to workers comp. But many orthopedic surgeons and…

CMS has revised its brochure, "The Medicare Appeals Process: Five Levels to Protect Providers, Physicians and Other Suppliers," according to an AAPC release.

Coders must take active steps to fight fraud by asking providers to document codes and services, according to an editorial written by Anita Barsalou, CPC, and published on the AAPC website.

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