Anesthesia & Pain Management Compliance Auditors
3
Aug

Proposed CMS Fee Schedule Released

The proposed physician fee schedule was released last week and in addition to the proposed unit value of $22.0353 (a slight reduction), there are going to be some major changes to anesthesia for endoscopy procedures if this goes forward.  Five new codes are proposed for 2018.  I created a table below to assist practices in...
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3
Aug

Global Period Reporting

Remember July 1, 2017 99024 – CMS Requires Reporting Post Op Visits within Global Periods Beginning July 1, 2017 the Centers for Medicare and Medicaid Services (CMS) requires practitioners in the following 9 states to report post-operative visits provided during the global surgical period for specified procedures.  The specific states effected are: Florida Kentucky Louisiana...
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3
Aug

MIPS Update

CMS is in the process of sending providers notification of their eligibility to report MIPS; telling providers if they qualify for MIPS reporting based on the number of patients and total dollars billed to Medicare.   The letters being sent provide information both for the group as a whole, and for each individual within the...
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3
Aug

UDS Update

Oops they did it again!   ACE has been notified by several clients in different areas of the country that the new lab codes (CPT 80305, 80306 and 80307) are denying.  In reviewing the 2017 Clinical Laboratory Fee Schedule for CMS, the code is listed but it does not appear on the fee schedule with...
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3
Aug

Helpline Services

We appreciate your business as a client and are happy to help you with any ongoing questions you may have as you strive to meet your compliance goals.  We will gladly respond, free of charge, to any question that doesn’t require additional research.   In the interest of time management for our team, if the...
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25
Oct

The Final Rule for 2017

The final rule regarding the 2017 MACRA was published last Friday, October 14, 2016.  Released much earlier than anyone anticipated, the 2,204 page rule lays the foundation of moving reimbursement to focus on quality.  While everyone is still trying to digest the information, there are some practical points that we believe you should be aware...
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8
Aug

Sweet Dreams Nurse Anesthesia Group Pays More Than $1 Million to Resolve Kickback Allegations

On Friday, August 5th, the Office of Inspector General (OIG) released a settlement regarding anti-kickback violations and an anesthesia group.  Sweet Dreams Anesthesia agreed to pay over one million dollars to settle several allegations in which the State of Georgia and the United States Government charged them with activities that intended to induce unlawful referrals...
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