OIG Exclusion List
by Cheryl Nash When we think of the term Compliance a lot of acronyms come to mind for the Medical Practice. OSHA, HIPAA, OCR, RAC, the list goes on and on, but one acronym, OIG, while familiar has a regulation… Read More
Patient Insurance Changes
by Dr. Stephen Daugherty A month back Dr. Santangelo sent out a query on the American Vein & Lymphatic Society’s Member’s Digest regarding why some providers are having difficulties with payers regarding board certification and holding hospital privileges. Dr. Daugherty… Read More
Anthem Changes For 2020
by Cheryl Nash A significant change in Anthem’s Policy SURG00037 is welcome news for providers this year. Language has been added allowing ablation of the AAGSV that was previously considered experimental. The new policy has added AAGSV to… Read More
Phlebectomy Code Changes
by AJ Riviezzo The largest coding/reimbursement change for phlebology practices is the decrease in phlebectomy reimbursement. The 10-20 stab phlebectomy has dropped 31.49 percent and the 20+ stab phlebectomy has dropped by 32.6 percent. With the National Average Reimbursement… Read More
Varithena – Providing Some Clarity
by AJ Riviezzo We continue to get a few questions on when you can and cannot use the 36465 code for Varithena. There is a bit of a disconnect between the FDA indication for Varithena: “for the treatment of incompetent Great… Read More
Ne NCCI Edit For Sclerotherapy
by Cheryl Nash Some of you may have seen the new NCCI edit that became effective on 10/01/2019 for CPT codes 36478 and 36470/36471. For those that haven’t, the edit has listed codes 36470/36471 as column 2 codes to… Read More
End Of MBI Transition Period
by Cheryl Nash You may have received a message this week from Medicare MLN Matters that reads something like this: Special Edition – Tuesday, December 3, 2019 Provider Education Message: MBI Transition Ends This Month: Will You… Read More
New Cards, New Year
by AJ Riviezzo With the start of the new year, it is very important to ask your patients for a copy of their insurance card. It is not uncommon for the patient to have changed insurance carriers through their… Read More
The Patient Said…
by AJ Riviezzo We perform quite a number of chart audits for phlebology practices throughout the country. We are also asked to assist practices when they are targeted with an audit by Medicare, Blues or one of the commercial… Read More
Care Plan Concerns
by AJ Riviezzo As noted above, there are several other reasons besides conservative therapy requirements not being met which can cause an audit to go badly. A recent reason is the Care Plan. While the care plan may seem… Read More