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…
ASC Coding, Billing & Collections
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,…
Mona Kaul, chief coding and compliance officer of GENASCIS, which provides revenue cycle services and supporting technologies for surgery centers, discusses the following six ways ASCs can better avoid denied claims on spine procedures.
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Note: The following article first appeared on the AAPC Physicians Services website. When I talk to people who aren't compliance officers and mention the word compliance, the reaction ranges from a "deer in the headlights" look to outright anger.…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Both CPT 63030 and CPT 63047 may be reported independently of each other when performed during the same operative session pending…
Medical practices must decide whether their audit needs will be served better using internal staff or by looking to a consultant. To help you decide which method will meet your needs, consider the following 10 reasons for choosing an outside…
Appealing denied claims can be a frustrating and time-consuming process for an ASC billing team. Daria Semanyshyn of Advanced Medical Practice Management in Florham Park, N.J., offers seven common reasons for claim denial and five steps for how to successfully…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Significant reimbursement losses are inevitable when epidural and tendon sheath injection procedures are reported incorrectly. Improper reporting is often due to…