Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Coding

2020 Medicare Physician Fee Schedule: What Anesthesiologists Need to Know

CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020, including the new anesthesia conversion factor of $22.2016, a slight decrease from 2019, and revisions to several Medicare payment policies. We’ve highlighted a few changes that will be most interesting to anesthesiologists. READ MORE

Anthem to Implement Post-Pay Reviews for ED Level 5 Claims in Some States; Indiana Currently Excluded

Anthem Blue Cross and Blue Shield recently announced a new policy of post payment reviews of professional ER claims billed with level 5 E/M codes. The new policy is being implemented to “ensure documentation meets or exceeds the components necessary to support its billing,” according to Anthem, and will begin August 1. Indiana and a few other states currently are excluded. READ MORE

© Copyright 2020