UHC No Longer Reimbursing for Consult Codes

UHC No Longer Reimbursing for Consult Codes

Effective for claims with dates of service on or after Oct. 1, 2017, UnitedHealthcare will reimburse the appropriate evaluation and management (E/M) procedure code which describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care reported in lieu of a consultation services procedure code. This notification will be the first…

Code Spotlight — ICD-10 Code I16

Code Spotlight — M48.062 Spinal Stenosis Lumbar Region with Neurogenic Claudication

RT Welter & Associates is excited to present our monthly Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders. M48.062 – Spinal Stenosis, lumbar region, with neurogenic claudication The list of ICD-10 code updates is…

Industry Hot Buttons — MACRA / MIPS Update

Industry Hot Buttons — Biomechanical Device Coding

Biomechanical Device Coding: Spine surgery has been one of the specialties hardest hit by recent CPT code bundling, NCCI edit updates, code revisions and additions, and RVU decreases. Most recently, biomechanical device coding changes were implemented, which impacts many spine surgery practice’s bottom lines. This change essentially states that all anterior instrumentation is now bundled…

CMS Proposed Rule Could Scale Back Mandatory Bundled Payment Programs

CMS Proposed Rule Could Scale Back Mandatory Bundled Payment Programs

CMS released a proposed rule earlier this month that could cancel two bundled payment programs, and significantly limit a third. Two bundled payment programs could be canceled before they begin, and the scope of a third will be significantly limited if a proposed rule released by CMS August 17 is finalized. The agency proposes cancellation…