Post written by : abilling
KMAP Budget Reduction
Please be aware, there is a 4% balanced budget reduction in effect for KMAP effective with DOS on /after July 1. abinsights Contact Information abinsights readers are invited … Continue reading
ABN – NON-COVERED SERVICES
Are you getting ABNs (Advanced Beneficiary Notices) signed when needed? An Advanced Beneficiary Notice (ABN) is necessary when you think a service may be denied by a payer, or you … Continue reading
BCBS of Kansas Medical Policy Update
Title: Regional Nerve Block and General Anesthesia Current Effective Date: November 6, 2015 DESCRIPTION Regional nerve blocks are a form of pain management lasting 10 to 12 hours depending … Continue reading
CMS – Trigger Point, Local Injections
Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L34588 Coverage Indications, Limitations, and/or Medical Necessity Myofascial trigger points are self-sustaining hyper-irritative foci that may occur in any skeletal muscle … Continue reading
CMS – Sacroiliac Joint Injections
Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L34443 Coverage Indications, Limitations, and/or Medical Necessity The sacroiliac (SI) joint is formed by the articular surfaces of the sacrum and … Continue reading
WPS Medicare (Kansas, Nebraska, Missouri, Iowa) – Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L35996 Coverage Indications, Limitations, and/or Medical Necessity Introduction: This policy does not address sacral conditions or injections or neurotomies. Sacral injections, … Continue reading
Delay in Revenues – Implementation of ICD-10
As predicted, the transition to ICD-10 has slowed down the industry as a whole. Our processes have also been impacted and we are not current submitting charges with the payers. … Continue reading
Medicare Physician Signature
Medicare Part B eNews Disclaimers Used as Part of Physician’s Signature WPS Medicare has recently been informed of a new trend in medical record documentation – that of using some … Continue reading
ICD-10 Deadline
The ICD-10 October 1st deadline is here. Please take a moment to review and ensure you will be documenting and sending complete ICD-10 coding. Type: Describes a condition Malignant, … Continue reading
Coventry-Aetna Anesthesia with Pain Injections and Amerigroup
Coventry / Aetna Payment Policy Title: Anesthesia Service for Pain Management and Back Injection Procedure Coventry/Aetna will not allow payment for anesthesia services including MAC, with or without modifier … Continue reading