Winter 2011-2012 Newsletter
NDC (National Drug Code) for Drugs Administered and Billed The National Drug Code (NDC) is a unique 10-digit, 3-segment numeric product identifier assigned to each medication. The segments identify the … Continue reading
Mid December SGR
Mid December, the House of Representatives passed a bill, H.R. 3630 that would, among other things, “fix” the SGR problem for 2 years. Under this bill, instead of a 27.4% … Continue reading
Medicare eRx Payment Adjustments Starting January 1, 2012
Medicare will begin making eRx payment adjustments starting January 1, 2012 for those professionals who did not meet the 2011 claim filing requirements. This adjustment will amount to a 1% … Continue reading
UniCare Important Update to Referral Requirements
For non-anesthesia services: A letter was recently sent out to all providers regarding a new UniCare requirement. Effective October 10, 2011, specialists and other providers must obtain a referral … Continue reading
Summer 2011 Newsletter
Does ABI have your current email address? Anesthesia Billing, Inc. (ABI) has historically sent general communication through the USPS and has recently begun to add email blasts as an option. … Continue reading
BCBS of Kansas Sacroiliac Joint Arthrography and Injection
Medical Policy Title: Sacroiliac Joint Arthrography and Injection Professional Institutional Original Effective Date: July 27, 2011 Original Effective Date: July 27, 2011 Revision Date(s): Revision Date(s): Current Effective Date: July 27, … Continue reading
Are you giving ‘Insurance Only’ discounts or granting discounts for patient responsibilities?
If you are, you NEED to read on… Scenario #1: Federally Funded Plans – Because of Anti-kickback Federal Laws and the Federal False Claims Act, you are NOT to … Continue reading
CPT Coding Changes for January 1, 2011 (Oklahoma)
The ABInsight dated December 7, 2010 reported effective January 1, 2011, CPT 77003 (fluoroguide) can no longer be billed in addition to CPT’s 64479, 64480, 64483, and 64484 (transforaminal epidural … Continue reading
CPT Coding Changes for January 1, 2011
The ABInsight dated December 7, 2010 reported effective January 1, 2011, CPT 77003 (fluoroguide) can no longer be billed in addition to CPT’s 64479, 64480, 64483, and 64484 (transforaminal epidural … Continue reading
Coding Edit Changes for January 1, 2011
In the December 7, 2010 ABInsight we reported effective January 1, 2011, CPT 77003 (fluoroguide) can no longer be billed in addition to CPT’s 64479-64484 (injections), the fluoroguide will be … Continue reading