Billing Anthem for anesthesia services administered during labor and delivery requires physicians to follow specialized guidelines, otherwise the claims will likely be denied. READ MORE
Anthem is once again tweaking policies for modifier 25, apparently still trying to get a handle on separately billed evaluation and management services that are provided on the same day as a minor surgery. READ MORE
Once again, the American Society of Anesthesiologists has released their annual ASA Commercial Payer Survey results for 2018. Overall, the 2018 national average conversion factor was $76.32, ranging between $73.26 and $81.32 across participating practices’ top five commercial plans. READ MORE
An 85 percent increase per member in emergency department spending between 2009 and 2015 was the result of hospitals coding and billing for a greater number of high severity cases, according to a 2017 Health Care Cost Institute study. But what does this upward shift in evaluation and management levels say about what’s happening in the ED? READ MORE
Earlier this month, a bipartisan group of Senators announced draft legislation that would address the issue of surprise bills for patients seen by out-of-network medical providers. READ MORE
Everyone involved in the revenue cycle, from providers to follow-up team members, needs to be aware of payer timely filing limits and what they can do to help meet them. READ MORE
Anesthesiologists who bill for anesthesia services during screening colonoscopies should be aware of required coding differences among various government and commercial payers. READ MORE
Patient balances after insurance grew 67 percent from 2012 to 2017, and the uninsured rate of working adults ages 19 to 64 also rose 3.3 percent in 2018, making patient collections more challenging than ever. READ MORE
The Centers for Medicare and Medicaid Services (CMS) recently published the proposed Medicare Physician Fee Schedule for 2019. Here’s what emergency physicians need to know. READ MORE
The Centers for Medicare and Medicaid Services (CMS) recently published the proposed Medicare Physician Fee Schedule for 2019. Here’s what you need to know. READ MORE
