Payors may build in terms that limit or cap ASCs' ability to get paid for their services while providing the payors more revenue control. Here are five key factors to understand and negotiate into every payor contract.
ASC Coding, Billing & Collections
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. CPT 10060 (incision and drainage of abscess – simple or single) or CPT 10061 (incision and drainage of abscess –…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. 1. When a sentinel node biopsy (CPT 38500) is performed during the same operative session as, for example, axillary node…
Out-of-network ASCs and other providers will be required to charge patients out-of-pocket costs in many cases under a new bill introduced by New Jersey Democratic Assemblyman Gary Schaer.
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. 1. Laryngoscopy procedures are coded using CPT 31505-31579.
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CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Modifier -73 — CPT guidelines state that the physician may cancel a surgical or diagnostic procedure subsequent to the patient's…
In 2011, the final year of the transition to a new payment system, ASCs will receive a 0.2 percent across-the-board increase in Medicare payments and continue to have updates based on the consumer price index rather than the hospital market…
What do we need to know about 5010 testing? First, you should know that the deadline to comply with all Version 5010 requirements (the new version of the X12 standards for HIPAA transactions) is Jan. 2012. This may not seem…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. 1. Epidural injections Significant reimbursement losses are inevitable when epidural and tendon sheath injection procedures are reported incorrectly. Improper reporting…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Interbody cage fusion uses a hollow threaded titanium or carbon fiber cylinder to fuse two vertebrae together. The diseased disc is…