by: Julia Kyles Published Feb 1, 2012 You have new codes for facet destruction services (64633 – 64636) but that doesn’t necessarily mean you need to create a completely new … Continue reading
By: Julia Kyles Published Feb 1, 2012 The new anesthesia edits in CCI 18.0 are limited to two of the peripheral field stimulator codes: 0282T – 0283T (trial and permanent … Continue reading
by: Julia Kyles Published Feb 1, 2012 If you assumed CCI 18.0 would simply crosswalk the edits for deleted facet nerve destruction codes (64622 – 64627) to the new … Continue reading
by: Lauren C. Williams Published Feb 1, 2012 With the whirlwind of changes regarding the industry switch to HIPAA 5010, you must make sure your practice can comply quickly with … Continue reading
12.4.4 – Certified Registered Nurse Anesthetists (CRNAs) (Rev. 295; Issued: 06-26-09; Effective/Implementation Date: 07-27-09) Per 42 CFR 410.69(b), a certified registered nurse anesthetist means a registered nurse who: (1) … Continue reading
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, 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 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
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
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
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
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
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
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
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
Dear Clients and Friends: We have once again entered into a New Year, 2011. We would like to wish everyone a prosperous and Happy New Year! Many things come … Continue reading
As you probably are already aware, Preferred Health Systems (PHS) was acquired by Coventry Health Care, Inc. (CHC) on February 1, 2010. Due to this acquisition, PHS’ subsidiary companies, Preferred … Continue reading
Coding Edit Changes for January 1, 2011: Effective January 1, 2011, CPT 77003 (fluoroguide) can no longer be billed in addition to CPT’s 64479-64484 (injections), the fluoroguide will be considered … Continue reading
BlueCross BlueShield of Kansas has recently discovered they have been paying 6 base units for cataract surgery, CPT 66984, ASA 00142, instead of the allowed 4 base units, creating an … Continue reading
Annually BlueCross BlueShield of Kansas sends a letter outlining changes to be effective the following January for the Competitive Allowance Program (“CAP”). We have received the changes to be effective … Continue reading