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
Through the Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act, cost-sharing for COVID-19 testing and related services has been waived for insured patients. Here are updated guidelines for billing those services to Medicare and other payers. READ MORE
In this update, we talk about new details for coding and billing for COVID-19 testing and treatment, and how Medicare, commercial payers, and Americans will pay for it … or not. READ MORE
The Centers for Medicare and Medicaid Services has further expanded coverage for telehealth services during the COVID-19 pandemic, building off of the changes Congress implemented in their first COVID-19 relief package earlier in March. READ MORE
Cigna recently announced new medical coverage policies for the use of anesthesia services for interventional pain management procedures. READ MORE
United Healthcare will begin evaluating all level 5 professional Emergency Department claims and potentially downcoding them or denying them for “inappropriate” coding. The new policy, which takes effect April 1, 2020, is part of the payer’s “continued efforts to reinforce accurate coding practices.” READ MORE
Back in September 2019, the American Medical Association released the 2020 Current Procedural Terminology code set. Those changes will become effective on January 1, 2020. In this post, we highlight eight noteworthy ones. READ MORE
Starting January 1, 2020, providers who order Medicare Part B advanced diagnostic imaging services are required to consult appropriate use criteria through a qualified Clinical Decision Support Mechanism. READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020, including the new anesthesia conversion factor of $22.2016, a slight decrease from 2019, and revisions to several Medicare payment policies. We’ve highlighted a few changes that will be most interesting to anesthesiologists. READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020. We’ve highlighted a few of the biggest changes. READ MORE
