Last week, we brought you a summation of the key provisions in the Medicare Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year (FY) 2025. Today’s article will focus on the quality programs that concern the inpatient setting. Hospitals that do not submit quality data or do not meet all Hospital Inpatient Quality Reporting […]

Anesthesia providers distinguish themselves by virtue of their ability to manage all types of pain. While most of their time and energy is focused on the acute pain related to surgical procedures and deliveries, many providers also consider themselves qualified to manage chronic intractable pain. The result can be two very distinct types of practice. […]

Last week, we sent out a special alert advising our readers of a change in Aetna’s payment policy in connection with physical status (PS) modifiers on anesthesia claims. The payer announced it would no longer provide additional payment for PS 3-5, effective July 15 of this year. Not to be outdone, several of the “Blues” […]