New Audit By Noridian
Noridian has released letters informing providers of a new pre-payment review called the TPEE- Targeted Probe and Education with Extrapolation review. This is a pilot program and if successful may become a part of the CMS integrity program. Noridian… Read More
Sedation Services Billing — Part 1
Coding and Billing for sedation services tend to cause confusion for providers that are not accustomed to such billing practices. Services such as tumescent, anoxiolysis, and moderate sedation get mixed up with the codes that are out there for general… Read More
Changes In Policies And LCD’S
Over the past year or two, there have been some rather substantial changes in policies and Local Coverage Determinations (LCD). Of note has been Blues of North Carolina restricting ablations to one per limb per lifetime. This was not a… Read More
ACP Response To Novitas Policy Draft
As my article above outlines, Novitas has come out with a new policy that greatly curtails the ability to treat patients in a prudent and effective manner. I want to assure our readers that there is a concerted effort to… Read More
Don’t Believe The Quote
Phlebology is somewhat unique in the variety of physicians with very different American Board of Medical Specialties (ABMS) certifications. Sometimes that variety presents a challenge when benefits are communicated by the payer to the coworker at the practice. The computer… Read More
Blues Of North Carolina Plan Changes
If your practice is in North Carolina I am sure you are aware of the changes in benefits that BCBS NC has implemented beginning the first of the year. For those of you who sometimes see a Blues patient from… Read More
Clarivein Updates
Vascular Insights, LLC has obtained CPT codes through the AMA for their ClariVein mechanochemical system. The codes are 36473 for the first vein treated and code 36474 for the subsequent vein treated. Only the RVU’s are readily available at this moment. … Read More
New Language Impacting Phlebology CPTCodes
It has been a few years since CPT has made any changes of note to the codes most commonly utilized by the phlebology practice. This has allowed us to stay blissfully unaware of the impact CPT updates can have. We… Read More
Macra And The Phlebology Practice
If you combine the current PQRS and Meaningful Use programs into one, along with a side of additional reporting, you basically have MACRA. The three performance categories are: QUALITY – Accounts for 60% of your score. This replaces PQRS…. Read More
Office Staff Thoughts
Having worked with quite a number of physicians, I know they all started up their own practice in part for the joy of having employees. Perhaps not. Below are a few thoughts in regards to the management of a practice…. Read More