October 2015 Be more clinically specific.  ICD 10 requires more knowledge in Anatomy & Physiology, Medical Terminology, Pharmacology, and Medical Science, thus expecting more details when reporting. 13,000 ICD 9 … Continue reading →

Title:   Diagnosis and Treatment of Sacroiliac Joint Pain  POLICY Current Effective Date:   September 18, 2015   A. Injection into the sacroiliac joint for diagnostic or therapeutic purposes may be considered medically … Continue reading →

BCBS of Kansas is now requiring all healthcare professionals (including CRNAs) to be credentialed prior to being approved as a new participating provider.  Previously they only required physicians to complete … Continue reading →

Title: Site of Service Guidelines for Certain Outpatient Surgical Procedures       Policy Effective Date:  October 1, 2015 (except Colorado effective Nov. 1, 2015; and Iowa and Illinois effective Dec. 1, 2015) … Continue reading →

Right around the corner the new code set for diagnosis codes arrives.  After delays and debates, October 1, 2015 will be the day we all have to begin using ICD-10 … Continue reading →

Date:  2015-07-09 Contact:  GO.CMS.GOV/MEDIA Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can require lengthy recovery and rehabilitation periods. In 2013, there were more … Continue reading →

Medicare Revalidation Letter Notices – Please be sure to get a copy! Medicare requires each provider be revalidated every 5 years.  Through the revalidation process, each PTAN (Provider Transaction Access … Continue reading →

Notification from BCBS KC regarding the Physician Fee Schedule for the Participating/Traditional Plans: “For dates of service beginning on and after September 1, 2015, the Participating Fee Schedule will reflect … Continue reading →

Title: Epidural Steroid and Facet Injections for Spinal Pain Policy Effective Date:  June 1, 2015   Epidural steroid injections in this policy apply to the lumbar spine only. This section … Continue reading →

Title:   Facet Joint Denervation (Cervical and Lumbar) POLICY Current Effective Date:  April 30, 2015   A. Thermal radiofrequency denervation of cervical facet joints (C 2-3 and below) and lumbar facet joints … Continue reading →