Code Updates, Policy Changes Offer Reminder to Document Medical Necessity
Physicians would do well to heed coding updates and policy changes as a reminder of the importance of documenting medical necessity. READ MORE
VA Takes Steps Toward Timely Payments
After years of poor communication with providers, outdated claims follow-up systems, and delayed payments, the U.S. Department of Veterans Affairs recently announced a new plan to improve the payment system for Community Providers. READ MORE
UnitedHealthcare Increases Scrutiny of Facility Emergency Claims
As of March 1, 2018, UnitedHealthcare began using their Optum Emergency Department Claim Analyzer tool to evaluate facility ED claims and then deny or reduce payment for services they deem to be incorrectly coded. READ MORE
Anthem’s Latest Policy Change Hits Home for Anesthesiologists
Anthem will no longer cover general anesthesia or Monitored Anesthesia Care (MAC) during cataract surgeries, claiming in their recently published clinical guidelines that in most instances it is not medically necessary. READ MORE
What Anesthesiologists Need to Know about Reporting MIPS in 2018
Even though we’re two months into 2018, it’s not too late for anesthesiologists to participate in the 2018 MIPS to avoid a negative 5 percent adjustment on Medicare Part B payments in 2020. READ MORE
