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 is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE
While recent changes to office or other outpatient evaluation and management coding and billing guidelines may not affect anesthesiologists most of the time, there are instances when knowing the new rules will come in handy, especially with patients who have complex medical co-morbidities. READ MORE
Earlier this fall, the American Medical Association released the 2021 Current Procedural Terminology code set. In this post, we highlight several noteworthy ones.
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Beginning in November, the Centers for Medicare and Medicaid Services began releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services, including emergency physicians. READ MORE
Beginning July 1, 2020, Indiana Medicaid will begin reimbursing Emergency Medical Services provider agencies for administering naloxone. Below, we’ve provided guidelines for documenting, coding and billing this newly reimbursed service. READ MORE
During the COVID-19 National Health Emergency, many anesthesiologists are being tapped for patient care duties outside of their normal scope, especially critical care and related services. Here are a few tips for documenting and billing those services. READ MORE
