BCBS KS Diagnosis and Treatment of Sacroiliac Joint Pain
27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed BCBS of Kansas has updated its policy, limiting how they will pay for … Continue reading
Nerve Blocks for Peripheral Neuropathy
Nerve Blocks for Peripheral Neuropathy are not considered medically necessary 64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH Coverage Indications, Limitations, and/or Medical Necessity … Continue reading
Facing ICD-10 Preparation
We want to share with you what we are facing with ICD-10 coming in October. While is this a very elementary explanation, I hope it compels everyone to begin now … Continue reading
December 2013 Newsletter
CMS 2014 Medicare Physician Fee Schedule Final Rule and SGR Patch Centers for Medicare and Medicaid Services (CMS) released the 2014 Medicare Physician Fee Schedule Final Rule on November 27. … Continue reading
HBMA Regulatory Update
abinsights Contact Information abinsights readers are invited to submit comments, questions, tips, and suggestions for articles on any subject related to billing, collections, coding, reimbursement, and compliance. Send to: … Continue reading
Important Update: PQRS – Are you reporting the required codes to ‘dodge’ future Medicare payment adjustments/reductions?
ABI recently learned it is not required you report on at least 50% of your 2013 Medicare claims, as originally thought and reported to you, to keep from receiving a … Continue reading
PQRS – Are you reporting the required codes to ‘dodge’ future Medicare payment adjustments/reductions?
Formally called PQRI, nothing much else has changed except the name. This reporting program is designed to promote eligible providers to report on quality information and uses for incentive payments … Continue reading
BCBS of Kansas New Credentialing Requirements
BCBS of Kansas has not historically required any provider be credentialed in order to be participating. When adding a new provider to a group, we simply had to fax them … Continue reading
Coventry (including Preferred Health Systems) Rounding Down Anesthesia Time Units
ABI recently learned Coventry is rounding down partial anesthesia time units of 4 minutes or less (i.e. if an anesthesia case is 19 minutes, we bill 2 time units; however, … Continue reading
HHS Update to CRNA Administration of Pain Management
WPS released an update to the CRNA administration of pain management. We thought we would share with you that update. Certified Registered Nurse Anesthetist (CRNA) Practice and Chronic Pain Management … Continue reading