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Medicare Information for 2022: LCD Changes in Pain Management and More

As we’ve mentioned before, aging populations, an increase of cardiovascular conditions, and patient pain management will lead to a rise in the need for anesthesia services leading up to 2025 and beyond. CMS is constantly refining codes as changes in surgeries and procedures require billing costs that accurately reflect them.  In 2022, most of these […]

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What’s New in Anesthesia? An Interview with Soneaqua Flanagan

Soneaqua Flanagan joined the Medical Business Management team in November of 2000. Before this, she had several years of experience working in hospitals and other medical billing companies. With over 30 years of experience in healthcare management and 22 years at MBM, she is nothing short of an expert.  Soneaqua is a Certified Professional Coder […]

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New Year, New Fee Schedule: Important Changes for 2022

It’s that time again. Much like taxes or jury duty, there is a certain inevitability to the Centers for Medicaid & Medicare Services updating their Medicare Physician Fee Schedule (MPFS). Calendar year 2022 is no different, and the update contains both good and bad news. All the CMS’ efforts in updating the MPFS are “to […]

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No Surprises Act Final Rule: What Anesthesia Groups Need to Know

The No Surprises Act (NSA) is not just a pointless consumer protection law - it’s congress’s earnest attempt to safeguard individual beneficiaries from unexpectedly high medical bills. The need for this legislation became evident in the wake of COVID-19 hospitalizations as emergency, and out-of-network payments spun out of control. Learn more about the No Surprises […]

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Guide to Surprise Billing Provisions in the Consolidated Appropriations Act 2021

It’s almost the end of 2021, which means it’s time to prepare for the policy changes going into effect for the following year. The biggest one to pay attention to is the No Surprises Act (NSA), part of a comprehensive COVID-19 relief package in the Consolidated Appropriations Act. This law becomes effective January 1, 2022, […]

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When in Doubt, List it Out: Personal and Professional Things to Remember When Considering a Job Change

The unknown can be scary, but don’t let it keep you in a position where you aren’t fully satisfied. Changing jobs can be an emotional process. Whether the change is positively motivated or otherwise, it’s a decision that can alter the course of your career. It’s important not to leave this big decision up to […]

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Anesthesia Drug Market Growth: Riding the Crest of the Wave

Despite the challenges to the general anesthesia drug market precipitated by COVID-19, its market share is projected to hit $2.4 billion by 2025. That’s a robust compound annual growth rate of 3.4%. But how did we get here? Who’s controlling this market? And how do we ride the crest of this wave without wiping out?  […]

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The Only Constant is Change: Trends Impacting Healthcare Revenue Cycle Management in 2021

“It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is most adaptable to change.”  Charles Darwin said this about the natural world, but it’s a truism that could also apply to healthcare revenue cycle management in 2021. Changes to protocols and standards happen […]

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Update: Epidural Procedures For Pain Management And A Note On Anesthesia For These Services

As healthcare providers, it’s important to be aware of upcoming changes that could impact your practice through billing, claims, and insurance. Below is an important update on a proposed Local Coverage Determination (LCD) relevant for practices that perform epidural steroid injections (ESIs) to treat low back and neck pain. See our previous blog regarding potential […]

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Alert: Potential Changes to Reimbursement for Anesthesia Sedation in Pain Management Injections

According to the American Society of Anesthesiologists and the International Spine Intervention Society, minor pain management procedures require only local anesthesia under most routine circumstances, these include: Epidural steroid injections Epidural blood patch Trigger point injections Sacroiliac joint injections Bursal injections Occipital nerve block Facet injections Because of this, general anesthesia and moderate sedation services […]

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