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 →

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 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 →

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 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 →

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 →