Part B Insider (Multispecialty) Coding Alert
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 factsheet 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.
Part B Insider (Multispecialty) Coding Alert
- PART B APPEALS:
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Quell Confusion About CMS' 30-Day Retrospective Billing Rule
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Co-Surgery or Assistant Surgery? The Difference Could Cost You 46 Percent of Your Pay
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6 Ways to Head Off Compliance Problems --and Lawsuits
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If the patient comes to your practice from a skilled nursing facility, consolidated billing rules [...] - Part B Coding Coach:
Affect Your Practice's Bottom Line With Nosebleed Repair Smarts
Coders often under-report their epistaxis claims. If you can't differentiate a complex anterior nosebleed repair [...] - PHYSICIAN NOTES:
If Your Modifier JW Claims Resulted in Instant Rejections, Don't Lose Heart
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 factsheet about ASC billing.
The document, which was updated in January, outlines the requirements that a facility must meet [...]
