It is illegal in a number of states for physicians to pay a percentage of collected fees to billing and collections companies, a practice known as "fee splitting," but the prohibition has been widely ignored and percentage-payment arrangements have flourished,…
ASC Coding, Billing & Collections
The Centers for Medicare and Medicaid Services has issued Transmittal 617, which revises the use of medically unlikely edits, specifically modifier -55 (postoperative management only).
Q: If a doctor has ASC(A) order an IOL but then takes the IOL to ASC(B) for the surgery, can ASC(B) pay ASC(A) back the invoice price for the IOL without any Stark or billing issues?
The Centers for Medicare and Medicaid Services have issued corrections to its list of 2010 HCPCS codes, including new approved procedures for ASCs, description changes and coverage changes, which went into effect Jan. 1, 2010.
Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly newsletter. Sign-up to receive this newsletter by clicking here. CPT copyright 2008 American Medical Association. All rights reserved. CPT…
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The Department of Health and Human Services is planning a national claims database that would include information from Medicare, Medicaid and private payors, according to a report in American Medical News.
The Centers for Medicare and Medicaid Services has announced that a number of payment provisions, including the Therapy Cap Exceptions Process and Allowing Independent Laboratories to Bill for the Technical Component of Physician Pathology Services Furnished to Hospital Patients, expired…
The Centers for Medicare and Medicaid Services has issued Transmittal 1875 (pdf) to clarify which consultation codes were no longer accepted as of Jan. 1, 2010, according to a report in MLN Matters.
The Centers for Medicare and Medicaid Services has issued Transmittal 1867 (pdf), which is designed to help physicians, non-physician practitioners and hospitals, as well as Medicare Administrative Contractors, to help prevent misuse of modifiers used to identify adverse events and…
UnitedHealthcare will require all network physicians and other healthcare providers, facilities and ancillary providers to participate in its Commercial Radiology Notification Program, effective Feb. 15, 2010, according to a report from the American Academy of Professional Coders.