New Medicare local coverage determinations may hinder the ability to be paid for anesthesia services during Epidural Steroid Injections for pain management. The LCDs for several Medicare Administrative Contractors went into effect in late 2021, and others are being rolled out in 2022.
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Payers may deny claim lines with diagnosis codes that lack specificity when it comes to laterality, either because laterality was required and not indicated, or because laterality was indicated as unspecified. In this post, we’ll review ICD-10-CM laterality coding guidelines and offer a few recommendations.
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Emergency departments serve on the frontline of the fight against drug overdoses and opioid use disorder. While there have been several barriers to providing and billing for medication assisted treatment in the ED, many of those barriers have been reduced or eliminated. When emergency physicians do administer and/or prescribe MAT, here’s what they should document and code for their services. READ MORE
In the final rule of the 2022 Medicare Physician Fee Schedule, CMS made several changes to their longstanding policies for split (or shared) evaluation and management (E/M) visits and Critical Care Services. Here’s an overview of the new policies, along with some documentation and coding suggestions.
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The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2022. In addition to changing the payment rates for 2022, CMS also finalized changes to several payment policies. We’ve highlighted a few of the biggest for anesthesiologists below. READ MORE
The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2022. In addition to changing the payment rates for 2022, CMS also finalized changes to several payment policies. We’ve highlighted a few of the biggest. READ MORE
If the phrase “robotic process automation” (or RPA) has you picturing an R2D2-style droid floating around the medical billing office of the future doing filing and data entry, then you’ve got it all wrong. This futuristic-sounding tool can help with medical billing tasks, but its applications are available now and are already working behind the scenes across the medical billing industry. No metallic droids needed. READ MORE
Whether you’re just getting started with anesthesia coding and billing, or are a seasoned professional, this article offers a refresher on anesthesia modifiers, physical status, and qualifying circumstances. READ MORE
The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. In addition to the annual conversion factor update, the Proposed Rule also recommends changes to several payment policies. We’ve highlighted a few of the biggest for emergency physicians below. READ MORE
The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. At the heart of the MPFS is the annual conversion factor update. After legislatively mandated adjustments, including the expiration of the 3.75 percent payment increase provided for CY 2021 by the Consolidated Appropriations Act, the 2022 conversion factor will be $33.58, a $1.31 (or 3.75 percent) decrease from the final CY 2021 PFS conversion factor of $34.89. READ MORE
