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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Summary: As the specialty of anesthesia evolves, new lines of business are explored and employed. Over time, however, what once seemed like a cutting-edge technique or profitable opportunity may ultimately come with certain risks. Acute pain management is a prime example of this reality.There was a time, not too long ago, when many anesthesia pract...
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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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Summary: The particulars of when and how to use an advance beneficiary notice can be complex. Sometimes the notice is required, but occasionally its usage is voluntary. Today's article addresses some of the key regulations governing the issuance of an ABN when Medicare is expected to deny payment.Nothing is more frustrating for the entrepreneur tha...
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Summary: Anesthesia groups that once experienced stability are now facing stresses due to various factors. It is becoming increasingly critical for groups to use data-driven metrics to secure reasonable agreements with their hospital administrations. The standard model of such agreements may also be changing.Every anesthesia practice must define i...
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