Sclerotherapy Billing
Sclero… One More Time by AJ Riviezzo My apologies to our regular readers but I received quite a number of questions regarding Medically Necessary Ultrasound Guided Sclerotherapy. Below is our answers to two very frequent questions posed at the this… Read More
CAQH and the Physician
Something Else to Worry About by Marcy Riviezzo What is CAQH and why does this impact me and my practice? The best way to describe CAQH comes directly quoted from their website: “The Council for Affordable Quality Healthcare (CAQH)… Read More
Quick Hits
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… Read More
Administrative Law Judge
Follow Up Information on ZPIC Audit by AJ Riviezzo American Physician recently supported a practice that was involved in a ZPIC audit (essentially like a RAC audit except this was prospective and not retrospective). Eight of our ablation claims were denied… Read More
Moving Your Practice Forward
Free (or Close Enough) Support by AJ Riviezzo Phlebology is an interesting niche as it is becoming one of the few types of practice where there is a solo physician owner. This creates some unique opportunities and challenges as most… Read More
Documentation Compliance
Sclerotherapy by Cheryl Nash Sclerotherapy: It is just an injection! So why is so much documentation required for this simple service to be covered by the payers? In fact, Ultrasound Guided Sclerotherapy (also known as USG or Echosclerotherapy) is categorized… Read More
Medical Policy Alert
Humana Moves Towards AEtna’s Policy by Cheryl Nash Some of you may have noticed the new changes to the language in Humana’s coverage policy. Along the lines of last year’s changes to Aetna’s guidelines , Humana has also added a… Read More
E-Prescribing Requirements
Out Clause for Phlebology by AJ Riviezzo One of the new(er) concerns we have been fielding of late is the Medicare decision on E-prescribing. Medicare is turning it from a small bonus to a penalty if you are not in… Read More
Local Coverage Determinations
Matching Tit for Tat by AJ Riviezzo The requirements by the various payers continue to evolve and shift. Some, like United Healthcare, have become slightly more user friendly as they finally recognized that wearing stockings for three months does absolutely… Read More
Audit Alert
More Fun by a Payer by Cheryl Nash Humana has started issuing letters requesting medical records for an audit of their Medicare Advantage Plan members. We have received information of from two providers in phlebology practices that have received the… Read More