Medicare Compliance & Reimbursement
IN OTHER NEWS ...• Need a quick primer on how to appropriately report your ambulatory surgical center (ASC) services?
CMS provides a lot of information in a new brief fact sheet about ASC billing. The document, which was updated in January, outlines the requirements that a facility must meet to qualify as an ASC. In addition, you'll find resources that help you determine the 2009 payment rates for ASCs, as well as a formula that shows you exactly how ASC payments are determined. One of the most useful features of the document is a chart that includes examples of items and services that are not included in ASC payments for covered procedures. For instance, physicians' payments are not included in the ASC fee, and neither are lab services. These should be separately billed to the appropriate carrier. DME items such as neck braces and prosthetic devices should be billed to the appropriate supplier. To read the complete ASC Fact Sheet, visit the CMS Web site at www.cms.hhs.gov/MLNProducts/downloads/AmbSurgCtrFeepymtfctsht508-09.pdf.
Medicare Compliance & Reimbursement
- PART B REVENUE BOOSTER:
Recognize Incident-to Services Or Pay The Price
Hint: Doctor's schedule will be the key. Under incident-to rules, qualified nonphysician practitioners (NPPs) can [...] - CLIP & SAVE:
Let This Tool Make The Incident-To Decisions For You
Follow the flow chart to determine when incident-to services are billable. Suppose your nonphysician practitioner [...] - COMPLIANCE:
6Ways To Stay Out Of The Compliance Hot Seat
How carefully do you listen to your employees' complaints? Whistleblower lawsuits like the recently unsealed [...] - READER QUESTION; Differentiate Glaucoma Patient Coding Rules Based on Whether SNF Is Involved
If the patient comes to your practice from a skilled nursing facility, consolidated billing rules [...] - REIMBURSEMENT:
Understand The Appeals Ropes To Save Your Hard-Earned Reimbursement
Dollars matter the higher in the appeals process you go. Medicare has shaken up its [...] - CODING COACH:
Use These 3 Easy Tips for Headache-Related Nerve Blocks
Correct 64400 and 64405 coding helps ensure payment. If your practice is looking to add [...] - INDUSTRY NOTES:
Here's Help For Your Modifier JW Rejections
Plus: CMS offers quick primer on billing/coding services performed in ambulatory surgical centers. You may [...] - IN OTHER NEWS ...• Need a quick primer on how to appropriately report your ambulatory surgical center (ASC) services?
CMS provides a lot of information in a new brief fact sheet about ASC billing. [...] - IN OTHER NEWS ...• Suppliers' hopes for significant reform to competitive bidding are hanging on an order from the Obama administration.
As is customary with incoming presidential administrations, White House Chief of Staff Rahm Emanuel issued [...] - IN OTHER NEWS ...• CMS has extended for three years a demonstration project for disease management of chronically ill,high-cost Medicare beneficiaries.
CMS awarded the extensions to Key to Better Health, a division of Village Health in [...]
