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Prolonged Service Codes
By billing with codes 99354 and 99355, your practice may be
able to take advantage of additional reimbursement for the
extra time you spend with your patients. Typically when billing
for additional time, a modifier is used, for which Medicare
and private payors do not make additional payments.
Medical Necessity of Anesthesia in
Question
The utilization of monitored anesthesia care (MAC) has been
on the rise since in the last several years. Medicare saw
an almost four-fold increase in the use of MAC modifier QS
from 2000 to 2005. As the number and frequency of services
has risen, payors are starting to stand up and take note..
Anesthesia Practice Management Survey
On an annual basis the American Society of Anesthesiologists
(ASA) and Medical Group Management Association (MGMA) cooperate
on a survey of anesthesia practices. Data in the survey encompasses
anesthesia practice costs, revenue, production and staffing
figures.
Common Coding Mistakes
Following is a list of common coding mistakes that cost your
practice money:
CABG with bypass (00562) at 20 units vs. off pump (00566)
at 25 units...
The Health Court Case
The idea of "health courts" is being backed by the
bipartisan legal reform coalition Common Good, headed up by
its Chairman, Philip K. Howard. Health courts would have judges,
experienced in the field of medicine, try malpractice cases
without juries.
Gainsharing
Gainsharing refers to the financial arrangement between a hospital and physician where the hospital gives the physician a share of any cost savings generated by the physician’s efforts.
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