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
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
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
After spending time as a Certified Pharmacy Technician, Kayla Lee joined the ACE team in November 2014. Since joining the team, she has been instrumental in the coding and auditing department. At a young age, Kayla saw herself becoming an optometrist because of her love for glasses. However, after mentorship from ACE President Devona Slater,
We have launched a new feature to make it easier for you to get answers to your questions. You can now submit a Helpline Request online, and we will get our team of experts together to get you an answer!The cost is based on how long the team needs to answer your question. It is
Compassionate, funny and intelligent are three words that Amelia Dinh’s friends and family members would use to describe her. After obtaining her degree in Chemistry, Amelia worked for many years in Quality Assurance and Research and Development before joining the ACE team in April 2016. While at ACE, her primary focus has been standardizing and
