ACE Team Articles

Consolidated Appropriations Act Update

As you probably heard, Congress passed the Consolidated Appropriations Act(CAA), 2023, on December 23, 2022. The key components for anesthesia include the reset in the Pay-As-You-Go cuts until 2025, additional funding for the CMS fee schedule reducing the anesthesia conversation factor to approximately $21.1249 (a 2.03% reduction from the 2022 conversion factor), the Advanced Alternative Payment Plan Model

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Anesthesia 2023 Update

The HANK/ACE Christmas Update for 2023 changes is here! Don’t miss out on hearing the important coding and compliance tips to help improve your practice in the New Year and beyond. The recorded presentation will be an hour in length, presented by our experts. Topics include Physician Fee Schedule, No Surprises Billing Act, and 2023 CPT/ASA/ICD-10-CM changes

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Limited Time Offer, Training Trio Available Until December 15, 2022

This product is a limited-time offer and will only be available for a few more weeks. You save almost $30 if you purchase the Training Trio, which includes three trainings and three CEUs for $299.99.  1. Coding Transesophageal Echocardiogram (TEE) in Anesthesia The ACE team gets a lot of questions about the billing and coding

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Ultrasound Guidance Guide

In the August 25 ACE Alert, we shared the NCCI Radiology Chapter 9 guidelines and mentioned we had been notified by several clients about a specific UHC policy.  The policy specifically instructed that the retained image must show the final placement of the needle. Services were denied as the verbiage did not include evidence of real-time image guidance, and the

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WPS Policy Update

Wisconsin Physician Services (WPS) – Medicare – coding guidance for facet joint interventions and epidural steroid injections for pain management has updated their policies to reflect that use of moderate/deep sedation, general anesthesia and monitored anesthesia care (MAC) is usually unnecessary or rarely indicated for these procedures. Payment may be considered on appeal for exceptional circumstances if the medical

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ICD-10-CM Update & Recent Metrics 

October 1 ushers in ICD-10 manual updates annually. Other than the creation and seemingly daily updates to diagnosis coding during COVID-19, the unveiling of this code set arrives each year with little fanfare. That is compared to CPT updates that are unveiled annually on January 1. Perhaps ICD-10 changes garner little concern because the code

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