Coding changes effective 01/01/18 have been released and among those changes are the anesthesia services for colonoscopy and upper GI services. Along with the code changes, there are changes to … Continue reading
When filling out and giving your patients an ABN to sign for services you believe may be denied by Medicare, please be sure the ABN is filled out correctly. If … Continue reading
CMS has approved an updated Advance Beneficiary Notice of Noncoverage (ABN) form. Please be sure you are using the most current Form CMS-R-131 when having your Medicare patients sign a … Continue reading
Title: Diagnosis and Treatment of Sacroiliac Joint Pain POLICY Current Effective Date: April 12, 2017 Injection into the sacroiliac joint for diagnostic or therapeutic purposes may be considered medically necessary … Continue reading
Blue Cross Blue Shield of Kansas offers a Quality-Based Reimbursement Program where provider can earn additional revenue for meeting various defined quality metrics. New this year is the Anesthesia Registry … Continue reading
Please take note of the following changes in coding. For those who submit actual coding to us, you will need to please make these changes so we can report the … Continue reading
OB anesthesia billing is even more unique than surgical anesthesia. On top of the choices groups have to bill OB anesthesia services, payors have individual claim submission requirements. It is … Continue reading
Procedure and Diagnosis Coding Changes Please take note of the following changes in coding. For those who submit actual coding to us, you will need to please make these changes … Continue reading
As you know, for 2016 you can no longer report your PQRS through claims based reporting and will require a CMS qualified registry. It is time to decide what registry … Continue reading
Title: Monitored Anesthesia Care POLICY Current Effective Date: October 1, 2016 A. Use of monitored anesthesia care may be considered medically necessary for gastrointestinal endoscopy, bronchoscopy, interventional pain procedures, CT … Continue reading
Title: Facet Joint Denervation (Cervical and Lumbar) POLICY Current Effective Date: October 1, 2016 A. Thermal radiofrequency denervation of cervical facet joints (C2-3 and below) and lumbar facet joints is considered … Continue reading
Physician Fee Schedule: Proposed CY 2017 Changes Medicare also expands the Diabetes Prevention Program On July 7, CMS proposed changes to the Physician Fee Schedule to transform how Medicare pays … Continue reading
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
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
Medicare PQRS IMPORTANT Changes in Reporting Options January 1, 2016 In reporting your PQRS Measures, most of you have chosen the claims based reporting option. This has allowed ABI to … Continue reading
Lumbar Epidural Injections – Noridian Medicare As we suspected last year, refining coverage guidelines for Lumbar Epidural Injections now require the use of fluoroscopic or CT guided imaging. Some highlights … Continue reading
Epidural and Transforaminal Epidural Injections – WPS Medicare As we suspected last year, refining coverage guidelines for Epidural and Transforaminal Epidural Injections now require the use of fluoroscopic or CT … Continue reading
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
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
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