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 are not considered medically necessary 64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH Coverage Indications, Limitations, and/or Medical Necessity … Continue reading
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
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
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
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
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 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
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
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
WPS Medicare recently (end of March) released the below information through their WPS Medicare ENEWS. We would like to bring this to your attention for review. Although this was submitted … Continue reading
Just as a friendly reminder, you are legally obligated to collect any insurance assigned patient responsibilities, including coinsurance, deductible and/or copay. You should not take ‘insurance only’ for ANY patient. … Continue reading
Each insurance company has a pre-authorization list for services requiring pre-authorization prior to services being rendered. We highly suggest you look at these lists for each payer on a regular … Continue reading
As you know, KanCare is now well underway with the new payors. As a reminder, you need to verify what procedures need to pre-authorized. One area that DOES need to … Continue reading
TriCare, West Region (to include, but not limited to: Kansas, Missouri, Nebraska, Colorado, and California), will transition to and be managed by United Healthcare Military & Veterans effective April 1, … Continue reading
Anesthesia Billing would like to wish everyone a Happy New Year. With the start of a new year, this is the time to evaluate your practice and make changes as … Continue reading
Blue Cross Blue Shield of Kansas is adding anesthesia providers to the 2013 Professional Providers Quality-Based Reimbursement Program. Under this program if you meet certain requirements, you can qualify for … Continue reading
Coventry Health Care of Kansas and Preferred Health Systems will implement a new prior authorization process for procedures related to elective outpatient pain management services. This requirement will apply to … Continue reading
Policy Update effective 10/16/2012 for Nerve Blocks for Peripheral Neuropathy: Indications and Limitations of Coverage and/or Medical Necessity Nerve blocks cause the temporary interruption of conduction of impulses in … Continue reading
FOR IMMEDIATE RELEASE February 9, 2012 Contact: HHS Press Office (202) 690-6343 Health Reform to Require Insurers to Use Plain Language in Describing Health Plan Benefits, Coverage People in … Continue reading