2023 Medicare PFS Final Rule: A Deeper Dive

2023 Medicare PFS Final Rule: A Deeper Dive
Repetition and addition—that's the formula for effective learning, especially when it comes to mastering a second language. You go over what you previously practiced and then add new vocabulary words or additional grammar nuances as you progress each day. At some point, you may even be provided various charts showing verb conjugation and noun decle...
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2023 Fee Schedule: Implications for Anesthesia and Pain Practices

2023 Fee Schedule: Implications for Anesthesia and Pain Practices
SummaryThe 2023 Medicare fee schedule contains new rules that will impact many of our readers. This alert will discuss changes that will primarily affect those in a chronic pain practice but that may also impact some anesthesia and critical care providers."I feel a change comin' on"; it's a lyric that Bob Dylan used to express the societal transiti...
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When Anesthesia Payment Is in Doubt: Options for Non-Medicare Cases

When Anesthesia Payment Is in Doubt: Options for Non-Medicare Cases
Summary: The rules surrounding the use of ABNs for Medicare beneficiaries are robust and readily available. When non-Medicare patients present with non-covered services, however, the provider will find that the notification rules are anything but uniform. Care will have to be exercised to follow the diverse provisions of each payer's expectations.T...
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Anesthesia and ABNs: A Few More Considerations

Anesthesia and ABNs: A Few More Considerations
Summary: The rules surrounding the use of an advance beneficiary notice are voluminous and complex. Because of this, many providers are hesitant to avail themselves of this billing solution. In this ongoing series of articles on ABNs, we will cover additional rules for the proper use of an ABN when the provider believes the service that the pa...
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In-House Versus Outsourced Billing for Anesthesia

In-House Versus Outsourced Billing for Anesthesia
Summary: It is not enough in this day and age for anesthesia groups to rely on a few staff and on the same processes. If they want to maximize reimbursement while staying compliant with ever-changing rules, anesthesia providers need to consider the value that a sophisticated billing operation can bring to their practice.There is a natural human ten...
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