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ACE Alerts Archive

Update on 2020 Anesthesia and Pain Management Coding

Well friends, we are more than halfway through the first quarter and as predicted, the new CPT codes and updates are causing problems for anesthesia and pain management groups.  I have been contacted several times a day requesting help with these issues, so I decided to share our discoveries with all of you.  I can’t

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CMS Covers Acupuncture

In a surprising announcement, CMS made a national decision summary that now allows for coverage for acupuncture as a treatment for chronic low back pain.  But before everyone gets all excited, it is important to read the fine print, as they say.  The question is what qualifies for chronic low back pain and what must

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Planning for 2020

2020 is here and it is time for you to take a few moments and really think about the compliance activities needed for your practice.  There are a couple of recommendations ACE would like to bring to your attention. The 2019 April 1-Sept 30 report was issued in December and you all will not be

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ACE ALERT 10/14/2019

Case Settlement reinforces the importance of medical direction documentation. The US Department of Justice in the Western District of Michigan announced last Thursday that a settlement had been reached regarding claims billed as medically directed anesthesia services that did not meet the regulatory requirements and conditions of payment for billing those services as medically directed. 

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Denial Management Can Be Improved with Correct Coding

Denial Management Can Be Improved With Correct Coding It has been reported by several medical practice management resources that billing denial rates range from five to ten percent with better performers averaging around four percent. All practices would agree that additional effort to resolve claims cost money and it has been estimated that the average

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