This multiple scan billing question has come up and caused a little controversy. Let me try to make it a little clearer. First the basics:93965 is defined as Non-invasive physiologic studies of extremity veins, complete bilateral study (e.g. Doppler waveform analysis with responses to phleborheography impedance plethysmography). This is a non-imaging study in response to […]
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Ultrasound Reimbursement
Decrease in Ultrasound Reimbursement Medicare has come up with a somewhat sneaky way to reduce your reimbursement for bilateral and unilateral duplex ultrasounds (codes 93970 and 93971). Here’s how: In 2006, Medicare implemented the Outpatient Prospective Payment System (OPPS) to curb facility based outpatient reimbursement which includes ultrasound services. Unfortunately for the individual physicians, Medicare […]
Medicare and Affiliated Products
MEDICARE AND AFFILIATED PRODUCTS: There exists some confusion, both by the practice and by the patient, as to what Medicare or other Medicare related benefits a person may have. While this document will not solve all of the issues, we believe that some background information may be of use to you. Medicare: If a patient […]
Practice Standards
Below are some practice guidelines for your consideration. Most of these are in regards to your receivables but there are a few operational guidelines as well. For phlebology practices, the number of claims that ‘age’ due to notes requests and denials will always be higher than the non-specialty standards noted below. 1. Visits without charges […]
January/February Marketing Tip
MARKETING TIP: It is cold and flu season for the PCP’s so they are pretty busy this time of year. However, now is a good time to reach out to other types of providers. OB/Gyn practices can be a good source of referrals. Try to stop by and visit with the practice manager and the […]
Authorization/Benefits Process
1. Call the insurance company, (the number is usually on the back of the insurance card) and ask for benefits. – Obtain the in network benefits – Obtain the out of network benefits as well if you are out of network with that plan – Verify that the procedures performed are a covered benefit (typically […]