From 2003-2005, Noridian Administrative Services, which provides administrative services for the Medicare program, made $3 million in Medicare overpayments to hospitals for inpatient services and had failed to recover $1.9 million of that amount, according to an audit from the…
ASC Coding, Billing & Collections
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Q: Injections, including nerve blocks and facet joints, require exhaustive documentation, especially if multiple levels are involved. What information should pain management…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Note: This article previously appeared in the American Academy of Professional Coder's Coding Edge newsletter. For more information about Coding Edge, click…
A new Missouri law will impose financial penalties on insurers in the state that take more than 45 days to pay claims to healthcare providers, according to a report by Bloomberg Business Week.
As The Patient Protection and Affordable Care Act enters the implementation phase, politicians and health insurers are expected to battle over as to how new rules and regulations should roll out, according to a report in American Medical News.
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Q: Can a physician code a consult regarding a patient he or she is seeing for facet injections — with the patient and the patient's orthopedist who is on the phone — just before he or she does these injections…
WellPoint, which runs Anthem Blue Cross in California, withdrew its request for rate increases in California's individual insurance market after the state's insurance commissioner found flaws with the company's methodology, according to a report in The Wall Street Journal.
Citing the state's "any-willing-provider" law, Georgia's Insurance Commissioner John Oxendine ruled that Blue Cross Blue Shield Healthcare Plan of Georgia must allow Northeast Georgia Cancer Care of Athens into its HMO plan, according to a report in American Medical News.
Excessive administrative complexity related to billing costs physicians practices nearly 12 percent of their net patient revenue, according to a study in Health Affairs.
Here are the 2010 CMS reimbursement rates for five GERD-related upper endoscopy procedures in the ASC setting.