Note: OPPS proposed rule affects imaging payments
Medicare Weekly Update, July 19, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Editor’s note: Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.
In 2011, the AMA introduced three new CPT codes for computed tomography (CT) of the abdomen and pelvis with and without contrast. These codes are currently being paid using the existing data from prior CPT codes which unfortunately are not reflecting the true cost to the hospitals for performing these combination services. After further review of the claims data for these “new services” and carefully reconsidering the providers’ comments during the 2011 OPPS proposed rule, CMS is proposing to create two new APCs to more accurately reflect the costs and the efficiencies of performing these services under the combined codes – one APC for the service without contrast and another APC for the services provided with contrast based on current statutes.
Continue reading Debbie's note on the MedicareMentor Blog.
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Related Products
-
Coding and Billing for Outpatient Rehab Made Easy:
Take the confusion out of coding and billing for outpatient rehab and ensure you receive accurate reimbursement for the...
-
The Complete Guide to Long-Term Care Medicare Billing
The Complete Guide to Long-Term Care Medicare Billing provides easy-to-understand guidance to help long-term care facilities...
-
Homecare Audit Prevention:
Home health care is under more layers of regulatory scrutiny than ever before. Plus, under health care reform, the...
-
Clinical Documentation Improvement
Hospitals are undoubtedly aware of how a quality clinical documentation improvement program can benefit their facility, but...
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched