| Some Info for You
by AJ Riviezzo |
| E-Prescribe: The deadline for submitting a request for exemption from the E-prescribe program is November 1st. One way to be exempt is for the practice to be below a 10% threshold of specific codes. Most of these codes are essentially Evaluation and Management codes. Almost all phlebology practices should meet this exemption as the primary payments by Medicare are for surgery and ultrasound services. You need to file a letter with CMS to ensure you are exempt from any possible Medicare penalties.
Ultrasound Report Addition: On your ultrasound reports, we recommend adding a line to the body of the report that states: The permanent ultrasound recording is on file. This will help ensure you meet all legal requirements in your documentation.
Change in Code Use: Code 76942, ultrasound guidance, is receiving another short jab. Medicare and some other payers are now only allowing one 76942 to be billed per day. This means that if you are performing bilateral US guided sclerotherapy injections, you will not only be cut by 50% on the second sclero injection code you can also be cut back by the full amount for the US guidance as well. For Medicare patients we recommend against billing the second guidance code even to receive a denial. Our supposition is that fewer denials may hopefully mean fewer audit reasons. |
No comments yet.