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” […]
We’ve come a long way since the days when the milkman would make his deliveries at the door and the doctor would make house calls, black bag in hand. Now, we order our goods online and we can even see our healthcare professional via the latest telecommunications technology. Americans love convenience, and it is certainly […]
There is clearly a shortage of anesthesia providers in the country today. This a a result of a variety of factors including the pandemic, dramatic increases in the number of anesthetizing locations and provider lifestyle choices. According to various sources, by 2033, the anesthesiology workforce may experience a shortage of approximately 12,500 anesthesiologists, representing nearly […]
In the opening lines of Pink Floyd’s trippy hit, Comfortably Numb, the doctor instructs the patient to provide a response, saying: “just nod if you can hear me.” While not an exact example of what the medical industry means by “informed consent,” it does help us to think about what that term means. What are the […]
The intricate world of orthopedics, encompassing the complex conditions affecting our musculoskeletal system, presents a unique set of challenges behind the scenes. Ensuring proper billing and coding for these specialized services demands meticulous attention to detail and a deep understanding of the healthcare landscape. Let’s delve into the intricacies of orthopedic billing and coding, dissecting […]
Defining Patient Responsibility Most patients have insurance for their medical expenses. Conventional insurance plans determine the value of services submitted on a claim, which they define as the allowable. Plans that emulate the original Blue Shield policy then pay the provider 80 percent of the allowable, unless there is an applicable unmet deductible. The result […]
Adhering to the medical billing rules and guidelines specific to anesthesia care is required in order to accurately report anesthesia services and get reimbursed in a timely manner. Anesthesia medical billing can be complex and time-consuming, which is why most facilities choose to partner with a medical billing company to achieve a more efficient workflow, […]
Common procedural terminology (CPT) modifiers are special codes – usually numeric or alpha – used by medical billers to indicate additional information or pricing associated with a specific CPT code. Anesthesia billing, like all other medical billing, includes the use of these modifiers, which are critically important for the purpose of reimbursement from payors. What […]
Success in ophthalmology medical billing relies on efficient and timely collections. Submitting consistently clean claims and getting paid on time can help keep your ophthalmology practice afloat. The following are medical billing tips that will help your facility maximize your revenue flow: 1. Understand the Ophthalmology Billing Process and What Is Required for Each Claim […]
