ASC Coding, Billing & Collections

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…

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. One of the biggest challenges in coding knee arthroscopies is determining whether to select CPT 29875 (arthroscopic synovectomy, limited,) or CPT…

Lisa Rock, president, and Ryan Flesner, director of A/R, of National Medical Billing Services discuss five guaranteed ways to have your claim denied — and how to avoid those denials on the front end.  

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. According to the AMA, "when used in a report, the term 'polypectomy' does not define the procedure used to remove the…

Horizon Blue Cross Blue Shield of New Jersey has settled a lawsuit with approximately 130 ASCs in New Jersey for $22 million and an increase in reimbursement rates between 2011-2013, according to a joint press release from Horizon and law…

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.   Review CPT codes 23410-23412 to report open rotator cuff tear repairs (to include mini open rotator cuff tear repairs) with…

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Cristina Bentin, CCS-P, CPC-H, CMA, is principal of Coding Compliance Management. Q: Is it appropriate to report Category III code 0232T,…