LATEST NEWS

December 11, 2015

6th Annual Scope for Hope

Help raise money to support colorectal cancer, colREAD MORE

October 14, 2015

CMS Releases Final Meaningful Use Rules

On October 14th, 2015, CMS released the final meanREAD MORE

July 28, 2015

ICD-10

Stay up to date on ICD-10. There will be no moREAD MORE

April 10, 2014

SENATE PASSES BILL TO DELAY ICD-10 IMPLEMENTATION

On March 31, 2014, the US Senate passed a bill to READ MORE

Anesthesia and Colonoscopy: A Different Perspective

Posted by William Hess, MD, MBA

Read full article: Click Here

 

Bulletin

OFFICE OF INSPECTOR GENERAL (OIG) DENOUNCES ANESTHESIA ARRANGEMENTS

Anesthesia arrangements that generate prohibited compensation are in violation of the anti-kickback statute in accordance with the OIG Opinion No. 12-06. The ASA continues to press the OIG for action on this opinion as demonstrated by their recent letter of February 2014.

Don’t be misled by management/billing companies promising astronomical fees to achieve unrealistic revenues. Ultimately you, the provider, will be held responsible for any services billed under your provider number.

If it sounds too good to be true….it is. Fee arrangements are filled with kickback damages for all parties involved.

In light of the new and intense focus on fraud and anti-kickback issues, it is more important than ever that you protect yourself and your practice. Partner with an anesthesia provider who is going to protect your interests.

Doing anything less will put you at risk of fines, the possibility of years in jail, exclusion from Medicare and other government programs along with civil and monetary penalties.

Anesthesia Services Plus has been providing all aspects of quality anesthesia services since 1992. Our management team is made up of anesthesia and business professionals. We are devoted to employing only the most highly skilled clinical staff. Our administrative staff is focused on billing integrity, and is available to serve you and your patients.

For more information, please contact our office and one of our management team will be happy to discuss an anesthesia management options designed for your practice or ASC.

800-437-5179 • 239-278-9955
www.anesservices.com

Stay Up-To-Date on ICD-10

With the October 1, 2015 deadline less than 3 months away, CMS and the AMA have jointly announced relaxed guidelines in order to help providers transition to ICD-10. For a 12-month period after implementation, claims will not be denied for a lack of specificity in the ICD-10 diagnosis code selected as long as the code is from the appropriate family.

There will not be any more delays. Claims with ICD-9 diagnosis codes will be rejected starting October 1st. Even though providers now have a yearlong transition period, now is the time to make sure that your practice is as prepared as possible.

FAQs Answered by the Pros

1. Claim Denials. For 12 months after ICD-10 implementation, Medicare claims will not be denied or audited solely based on the specificity of the ICD-10 diagnosis code, as long as the practitioner uses a valid code from the right family of codes. Medicare Administrative Contractors and Recovery Audit Contractors will be required to follow this policy.

2. There will no PQRS, VBM, MU penalties based on specificity of ICD-10 codes. As long as the code used is from the appropriate family of codes, CMD will not subject providers to penalties under PQRS, VBM, or MU Programs. Furthermore, a provider will not be subjected to a penalty if CMS experiences difficulty calculating the quality score.

3. Advance Payments. If Medicare contractors cannot process claims on time, or as a result of problems with ICD-10, CMS will authorize advance payments to providers.

CMS will establish and ICD-10 ombudsman. CMS has said it will establish an "ICD-10 ombudsman" devoted to addressing provider issues.

The AMA and CMS will be continuing education through webinars, on-site training, educaitonal articles and natino provider conference calls throught the summer to facilitate the transition.

There are less than 90 days to ICD-10 implementation Practices should be finished with training, systems conversion and testing by now, if they have not already done so.