The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J. This jurisdiction, covering Alabama, Georgia, and Tennessee represents 7% of the national Part A/Part B claim-volume workload. This change is having a dramatic impact on anesthesia practices across this 3 state regions. These practices […]
The Medicare Access and CHIP Reauthorization Act of 2015, commonly known as MACRA is bringing dramatic changes for Medicare beneficiaries and the providers that serve them. MACRA is bringing big changes for anesthesiologists and CRNA’s. Could these changes result in rejected claims and unpaid charges? The answer is YES! We are watching this transition closely […]
It can be tough to learn all the ins and outs of MACRA, but 2017 is the time to do just that – and with a little help from Medical Business Management, you can get all the details a little easier with our cheat sheets (under the MACRA tab on our website). Keep reading to […]
If you work in the medical field, you know all about MACRA – the Medicare Access and Chip Reauthorization Act that instituted the Quality Payment Program (QPP). QPP brings three programs together under one umbrella: PQRS, Meaningful Use, and Value Payment Modifier. Under the new system, there are quality reporting requirements that come along with […]
Even in an overall flat-pay situation for medical professionals, anesthesia salaries are on the rise—but there’s a threat to that trend in the form of a decrease in the number of surgeons. This could cause a future drop in the demand for anesthesiologists, leaving some anesthesia providers out of work. The Current State of Anesthesia […]
When it comes to medical billing errors, the numbers are staggering: as many as 80% of all medical claims submitted to insurance carriers contain errors costing approximately $68 billion. Additionally, the incorrect coding of about 55% of evaluation and management (E/M) claims has resulted in roughly $6.7 billion worth of erroneous Medicare payments. Physicians […]
Modifier codes are sometimes used to signal abnormal circumstances related to anesthesia care. These 5-digit qualifying circumstances codes are recognized as modifiers when they are billed as separate line items in order to report services that were provided under unusually difficult circumstances (i.e. unique operative conditions, extenuating issues with the patient’s condition, etc.). Read on […]
It’s essential to stay vigilant when it comes to calculating anesthesia time units. Not properly doing so can result in delayed or denied claims, decreased revenue, and audits – which can have a negative impact on your practice’s reputation. Take a moment to look over this guide on the basics of calculating anesthesia time units […]
Accuracy is essential when it comes to physical status modifiers in the anesthesiology field, and as of January 2016, the ASA Physical Status Classification System (modifiers P1-P6) includes examples to assist in choosing the appropriate modifier. The original version was published in 1941 by Meyer Saklad, and then by ASA in a booklet for the […]
2017 is the year for clinicians to transfer to the new MIPS program, and CMS has done its best to make the transition as smooth as possible – especially for those who are just starting to participate in MIPS. For those clinicians who don’t participate at all, a score of zero will be assigned; but […]
