Medicare Compliance & Reimbursement

Part B Payment:

CMS Offers Great News With Fee Schedule Changes

Boost co-surgery, multiple surgery, and bilateral surgery pay for these select procedures. You'll no longer have to eat the cost of your services if your physician acts as co-surgeon on spine revisions, thanks to several Fee Schedule changes that CMS recently enacted. CMS had good news in MLN Matters article MM7430, which had an effective date of Jan. 1, 2011 and an implementation date of July 5, 2011. Look for Potential Co-Surgery Payment for These Codes CMS will change the co-surgery indicator for spine revision codes 22212 and 22222 from "0" (Co-surgeons not permitted) to "1" (Co-surgeons could be paid, supporting documentation required to establish medical necessity of two surgeons for the procedure). Keep in mind that supporting documentation is required when billing for a co-surgeon with these procedures, so don't forget to submit that with your claim or you'll be looking at bad news. Remember: If you're billing for [...]
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