Author Archive | AJ Riviezzo

NON-THERMAL ABLATIONS AND THE PAYERS

I have had a number of conversations with our clients and others regarding non-thermal ablations. Unfortunately, the majority of these conversations are in regards to difficulties in obtaining reimbursement. Here is our rather conservative approach to these newer technologies and newer codes.   Review the Policy – This is the safest way in ensuring proper […]

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DEDUCTIBLE SEASON

It is here again. The slowing of the number of patients who wish to receive treatment because of their new deductible. There are three different paths we see practices take in collecting patient deductibles and co-insurance. I’ll review the three paths and then offer our recommendation.   Dolittle Approach: The practice basically assumes that the […]

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HIPAA CONSIDERATIONS AND TECHNOLOGY

  Over the course of the year, we have seen new ways to violate HIPAA as well as some old standards. Noted below are a few HIPAA issues for your consideration.   Office Laptop: One practice kept a lot of patient files and information on a laptop’s hard drive. The laptop was stolen. Now, the […]

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MEDICARE 2019 FINAL RATES

The Centers for Medicare and Medicaid Services (CMS) just posted the new Medicare fee schedule for 2019.  There are a number of changes that will impact the phlebology physician.  Please keep in mind that any allowed amounts you receive will be different (up or down depending on geographic area)from the ‘national average’ rate listed below. […]

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PICK ME, PICK ME!

Perhaps you do not really want to be picked as we are discussing why Medicare or perhaps one of the Blues may pick you to do a preliminary or more in depth audit. There are a variety of reasons you may be audited, but the top 7 reasons that are not due to external issues […]

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MEETINGS AVAILABLE AT THE ACP

As you may or may not know, the American College of Phlebology Annual Congress’ format is a bit different this year.  Instead of having the Exhibitor area open most of the day with only a bit of time between sessions in which to visit the Exhibitors, they are now scheduling lunch from 11:00 to 1:30 […]

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EXTERNAL TROUBLEMAKERS

Well, they are not exactly trouble makers but if you do not pay attention on occasion to these outside entities you can have some difficulties. In the course of contracting for our new clients and re-contracting for our older clients we run into various roadblocks or issues from the Council for Affordable Quality Healthcare (CAQH), […]

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NOVITAS DRAFT POLICY

Our friends in Novitas have again come out with a policy that makes little clinical sense. This policy DL37796 – Sclerotherapy and Endovenous Non-Thermal Treatment of Varicose Veins tries to accomplish two goals. The first is to detail the covered indications and who may provide sclerotherapy. The second is to disallow use of the three […]

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BACK TO BASICS – INSURANCE CARDS

We have received a number of calls regarding confusion on policies, plans, and products put out by the various payers. The confusion stems, in part, to the large number of plans that are being developed by the various payers. It seems like every large hospital system, commercial payer, and Medicaid replacement payers are rolling out […]

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NEW MEDICARE CARDS

Every time I go to my primary care physician, the receptionist re-validates my insurance information. Perhaps because phlebology services tend to be intensive and over a shorter period of time, very few vein practices seem to do this. However, there are a few good reasons to consider taking this extra step.   New Medicare Cards: […]

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