CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Q: When our pain doc does 62311 (lumbar epidural) with G0260 (SI joint injection), I looked at CCI and it says…
ASC Coding, Billing & Collections
An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect fraud and abuse. Let's look at the following 10 best…
The American Academy of Professional Coders has published an article providing guidance for the documentation needed to meet ICD-10 requirements.
ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part is selecting a credible auditing company. Ideally, you should interview…
If you think you can wait until 2013 to evaluate your system processes and work protocols for the ICD-10 implementation, think again! The ICD-10 implementation doesn't mean you simply need to purchase a new coding manual. It involves changes and…
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The economic success of your ASC relies heavily on your reimbursement policies and procedures. Many payors (including Medicare) require ASCs to have written policies regarding their payment policies. These policies must follow OIG compliance guidelines for government carriers and must…
Susan Charkin, MPH, president of Healthcents, an ASC and physician specialty hospital contracting and consulting group, offers the following four quick tips for increasing collections in your ASC.
The American Academy of Professional Coders has published an article providing coding guidelines for abdominal wall reconstruction.
CMS has issued a transmittal outlining the changes made to the 2010 Outpatient Prospective Payment System as a result of health reform.
Kevin Dowdy is director of managed care for Meridian Surgical Partners.Q: Our ASC is currently negotiating our managed care contracts. What are some clauses payors try to include in contracts that we should watch for and fight?