Subscribe

PHYSICIAN EXTENDERS – PROPER USE AND BILLING

While CMS rules regarding billing for physician extenders, including Physician Assistants (PA) and Nurse Practitioners (NP) and other Non-Physician Providers (NPP), have been published and consistent for several years, it is common to find practices that do not know or follow them. The purpose of this letter is to simplify the rules to help keep practices in compliance with CMS guidelines. This letter specifically covers rules for billing for an extender that is enrolled with CMS versus not enrolled, and when it’s appropriate to bill the extender as “Incident to”.

PHYSICIAN EXTENDERS – PROPER USE AND BILLING

While CMS rules regarding billing for physician extenders, including Physician Assistants (PA) and Nurse Practitioners (NP) and other Non-Physician Providers (NPP), have been published and consistent for several years, it is common to find practices that do not know or follow them. The purpose of this letter is to simplify the rules to help keep practices in compliance with CMS guidelines. This letter specifically covers rules for billing for an extender that is enrolled with CMS versus not enrolled, and when it’s appropriate to bill the extender as “Incident to”.

PHYSICIAN EXTENDERS – PROPER USE AND BILLING

While CMS rules regarding billing for physician extenders, including Physician Assistants (PA) and Nurse Practitioners (NP) and other Non-Physician Providers (NPP), have been published and consistent for several years, it is common to find practices that do not know or follow them. The purpose of this letter is to simplify the rules to help keep practices in compliance with CMS guidelines. This letter specifically covers rules for billing for an extender that is enrolled with CMS versus not enrolled, and when it’s appropriate to bill the extender as “Incident to”.

MODERATE (CONSCIOUS) SEDATION – EXTENSIVE CHANGES FOR 2017

Currently, for most of the interventional procedures you perform, reimbursement for moderate sedation is bundled into the procedure code, but that will soon change. For dates of service on or after January 1, 2017, reimbursement for the procedure and the moderate sedation will be separated.

2017 NEW RADIOLOGY CODES

Changes to CPT codes take place every year, new codes are added, some are revised and some are deleted. 2017 is no different. Because there has to be a match between your documentation and the code(s) assigned, it is imperative to review the new codes along with the code descriptions. The purpose of this newsletter is to point out what’s new along with the 2017 professional Ohio Medicare allowable for a facility setting (hospital). Take a moment to review each of the codes and consider how these new codes could possibly impact your practice.
Page 11 of 13 1 9 10 11 12 13