Anesthesia Industry and Market News: eAlerts
eAlerts are the latest industry information regarding regulatory changes, helpful compliance reminders, or any number of relevant topics in the fast-paced, ever-evolving speciality of anesthesia.
If you would like to sign up to receive our anesthesia news eAlerts automatically every Monday, please complete the simple form below
November 1, 2010 The elections will at last be over tomorrow, but that does not mean that any member of the anesthesia community should cease his or her efforts to move Congress to avert a catastrophe in physicians’ continued participation in the Medicare program.
October 25, 2010 For the first time in several years, the Office of the Inspector General (OIG) has issued its annual prospective Work Plan without including any reference to interventional pain procedures.
October 18, 2010 If you haven’t already looked at the October issue of the American Society of Anesthesiologists’ Newsletter, you will want to make sure you have a copy.
October 11, 2010 ACO? Yes, another three-letter abbreviation is wending its way into our awareness.Although it sometimes seems as though healthcare will soon have used up all 17,576 (26³) possible three-letter combinations, that is far from the reality.
Proposed Rule: Issued On September 23, 2010, Which Sets Forth The Core Elements That Should Be Included In Anesthesiologists’ Compliance Plans
October 4, 2010 Proposed Rule: Issued On September 23, 2010, Which Sets Forth The Core Elements That Should Be Included In Anesthesiologists’ Compliance Plans
September 27, 2010 Current anesthesia records tell us rather little about the postoperative phase of a patient’s experience, and less about the quality of post-anesthesia care in a hospital generally.
September 20, 2010 One of the many reasons for which Medicare may deny your claims is the form of your electronic or handwritten signature. A number of ABC clients have recently had claims rejected allegedly because of missing information; follow-up by telephone has revealed that the anesthesiologist’s signature did not meet Medicare requirements.
September 13, 2010 It is medical society meeting time again across the country, and many of those meetings are going to include presentations on negotiating. Hospital contracts, payer participation agreements, employment status and changes are among the most common negotiation topics at anesthesiology conferences.
September 7, 2010 Next Year’s Medicare Payments to Anesthesiologists: Not Quite as Dire read the whole story here.
August 30, 2010 On July 13, 2010, the Centers for Medicare and Medicaid Services (CMS) published its in the Federal Register.
August 23, 2010 A number of ABC pain medicine clients use e-prescribing technology and perform a sufficient number of evaluation and management (E/M) services to qualify, at least potentially, for Medicare’s eRx Incentive bonus.
August 16, 2010 We are pleased and proud to announce that ABC is one of the first companies to meet the criteria for designation as an Anesthesia Quality Institute (AQI) Preferred Vendor. As stated on the AQI web site, www.aqihq.org
August 2, 2010
One strategy many anesthesia practices consider, in dealing with an economy that is still in the doldrums, is growth through merger with other groups. Another option is to sign up with a large anesthesia management/staffing company (“management company”) and leave the business hassles to that company. The latter scenario is more likely to be involuntary and the anesthesia practice is less likely to have a strong bargaining position
July 26, 2010 It’s hard to read much on the subject of anesthesia practice management without coming across the phrase “fraud and abuse.” Practitioners of this specialty have been thoroughly indoctrinated in the perils of inadequately or improperly documenting their services.
July 19, 2010
While hospitals’ efforts to align themselves more closely with physician practices have been increasing, so has the attention of the Office of the Inspector General (OIG) of the Department of Health and Human Services. Relationships between physicians and facilities offer numerous
July 12, 2010 The national average anesthesia conversion factor (CF) for June 1st through November 30th is $21.5696. The highest local area CFs are to be found in Alaska ($30.15), Miami ($24.96), Detroit $(23.65) and Chicago ($23.60) and the New York City suburbs ($23.49).
July 6, 2010 CMS has released the 1250-page proposed rule containing changes to the Medicare Physician Fee Schedule for 2011. Chief among these changes is the calculation of next year’s conversion factor....
June 28, 2010 If you have not begun reporting Physician Quality Reporting Initiative (PQRI) measures on your claims to Medicare, you will have a second and final opportunity starting this Thursday, July 1. You can qualify for the 2% bonus incentive payment on your Medicare allowables...
June 21, 2010 No, you haven’t already read this Alert stating that the 21.3 percent Medicare physician payment cut is now in effect. Yet again Congress has failed to pass legislation preventing us from going over the cliff. Late on Friday the Senate finally passed its version of the House-approved postponement of the SGR reduction in payments to physicians – too late
June 15, 2010 CMS has announced that it will extend the current hold on claims for services performed on or after June 1st through June 17th so that Congress can complete action on the SGR fix. This follows on President Obama’s plea that the Senate pass legislation that would block the 21.3% cut in Medicare payments to physicians during his weekly presidential address last Saturday.
June 14, 2010 “Dr. P.,” an anesthesiologist, was hired as the medical director of a for-profit ambulatory surgery center, “ASC-D.” Dr. P. and the other members of the anesthesiology department were to provide anesthesia services at ASC-D and at a number of off-site private physicians' offices. Dr. P.’s employment contract required him to turn over all fees earned from anesthesia services, including cases performed off the ASC’s premises. Under the contract, Dr. P., like other anesthesiologists employed by the ASC, was to receive a share of those fees back in the form of distributions from the annual “Net Anesthesia Revenue Pool” in addition to his base salary.