Tag Archives | reimbursement

Reimbursement, Billing in Radiology: Updates and Issues

Radiology, as a business, has become increasingly complex as regulatory demands grow and revenues, both on the hospital and physician side decrease. Doing more with less has become a common theme and both the commoditization of billing as well as the implementation of ICD-10 codes have played an important role over the past year, according […]

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Aggressive Tactics by Third Party Auditors Should Make Providers Vigilant

The goal was to avert fraud, waste, and abuse. We all support that – we collectively pay for Medicare, and who likes throwing their money away? Let’s review the ideal: the patient receives excellent medical care, the provider does a good job documenting that care, the coder translates the documentation into codes that are submitted […]

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ICD-10 Impact On Reimbursement, Payers, And Providers

Z23. That’s the ICD-10 billing code for an immunization encounter. It’s also the only code that stumped the team at Arlington, Virginia-based Privia Health, a national medical group.

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8 Things To Know About ASC Reimbursement

Reimbursement for procedures is an ASC’s bread and butter. Here are eight things to know about surgery center reimbursement.

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ICD-10: Stay the Course

It has been a very bumpy ride since early April, when ICD-10 was delayed once again. Ironically, I was in the U.S. Virgin Islands when I received the news, training physician groups in St. Croix and St. Thomas.

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Switching To New ICD-10 Codes

University of Illinois at Chicago researchers have developed a website that walks healthcare providers through the challenging transition from the current International Classification of Diseases — ICD-9 — to the new ICD-10.

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Medical Coding Audits – Absolutely Vital for Every Medical Practice

Physicians are very often so stressed out with seeing an increasing number of patients, providing medical services and appropriate follow-ups that they hardly get any time to see to the coding and billing processes themselves.

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Plan for PET scans draws docs’ ire

In an effort to scale back use of high-priced imaging of questionable value in cancer treatment, Medicare has proposed ending reimbursement for post-treatment positron emission tomography scanning

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Surgery Center Coding Guidance: Manipulation Under Anesthesia

Manipulation under anesthesia is a treatment that includes manipulation of multiple body joints for chronic pain conditions and is performed in ASCs by orthopedic surgeons and specially trained chiropractors.

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CMS: Medicare Reimbursement Rates Won’t Be Cut in 2012

The Centers for Medicare & Medicaid Services (CMS) Transmittal 1058, Change Request (CR) 7767 confirms a zero percent update for payments under the Medicare Physician Fee Schedule (MPFS) through year’s end.

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SGR Update: What’s Up With That 21 Percent Physician Pay Cut?

Here’s what you should be watching on Capitol Hill.
It’s that time of year again — the time when we all bite our nails wondering if Medicare will slash physician payments in the New Year.
This year, the drama is more intense as Congress decides whether to permanently repeal the Sustainable Growth Rate (SGR) formula that creates […]

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  2. PFS 2010 Highlights: Consultations Axed, More Reimbursement for PCPsRight before many of us left for the beach or…
  3. CMS Will Offer New Modifier to Denote Admitting Physician on ClaimsPop the champagne cork & get ready for brand new…
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