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

Coding

Medicare Denies Payment for Add-on Conscious Sedation Code

Physicians taking advantage of new unbundled codes for billing moderate or conscious sedation are receiving denials from Medicare for one of them. That code, 99153, which is the add-on code for additional time spent administering conscious sedation by a provider who’s also performing the primary service, has been denied by Medicare when the service was performed in a facility setting. Read more

Proposed Changes to the Medicare Fee Schedule that Could Affect Anesthesiologists

Some physicians may benefit from future changes in Medicare billing policy as outlined in the proposed Medicare Physician Fee Schedule released earlier in June, but probably not anesthesiologists. CMS is asking for comments on a reduced anesthesia conversion factor, revaluing of anesthesia procedures during GI procedures, and other proposed changes by September 11. Read more

Proposed Changes to the Medicare Fee Schedule that Could Affect Emergency Physicians

Emergency physicians may benefit from future changes in Medicare billing policy outlined in the proposed Medicare Physician Fee Schedule released earlier in June. CMS is asking for comments on two different guidelines that could ease documentation guidelines and improve reimbursement for coding and billing E/M services in the emergency department. Read more

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