“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 […]
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 […]
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 […]
Back in 2019, there was a significant change to the ASA RVG in regards to field avoidance. We discussed it back when the ASA made this change, but it’s always a good time to brush up on the details. The RVG can seem like an arbitrarily moving target, but the changes are intended to evolve […]
Anesthesia care and billing doesn’t fall on a spectrum from “easy to hard” in terms of levels of care. In fact, it’s a diverse Venn diagram of interactions between existing conditions, procedures, modifiers, and services. The distinctions on this Venn diagram become very important, however, when it comes time to reimburse for these complex types […]
Each year, millions of Americans are affected by surprise medical bills ranging from hundreds of dollars to hundreds of thousands of dollars. This so-called “surprise billing” can be devastating to patients and their families, but the good news is this unfair practice is coming to an end. What Is Surprise Billing? Surprise bills -- […]
by Joe Gribbin, Sr. Hospital and facility administrators are challenged by the inability to control their revenue cycle when anesthesia services are outsourced. If you aren’t aware of how much revenue is being generated, it’s difficult to maximize cash flow. This is our third post in this series highlighting the challenges hospital administrators face and […]
Anesthesiologists and CRNAs are among the most sought-after specialties in the medical field. As healthcare demands are increasing and the supply of qualified physicians decreases, the future of anesthesiology is fraught with discussions surrounding the direction of the industry. As with many other healthcare professionals, the pandemic of 2020 has also provided another degree of […]
Anesthesia billing is more complicated than billing for most other specialties. Between coding specifications and the differences in time billed, it can be challenging for facilities to understand how to leverage these complexities to maximize eligible revenue. In breaking this down into “Anesthesia 101,” we’ve highlighted some of the unique features of anesthesia billing in […]
On Monday, December 21, Congress passed legislation that included another COVID-19 relief package worth $900 billion. On Sunday, December 27, President Trump signed this legislation into law. Among its many provisions, the package includes payments up to $600 per adult and child to qualifying Americans, an increase in weekly unemployment benefits and funds for small-business […]
