02/28/19 | Great article on the issues with 63047 and 22633 and 22630

Find out about the issues between 22633/22630 and 63047 and get the history of these codes.  Great information you can use for your private payer appeals.

Great article on the issues with 63047 and 22633 and 22630
01/02/19 | Accessing Newsletters

How to get newsletters

Accessing Newsletters
01/02/19 | Calendar events

Calendar events

Calendar events
09/26/18 | Scam audio flyer Fionexia - please don't sign up

It has come to my attention that there is a flyer (from Fionexia) that is going out from a company that is fraudualent and stating I am doing an audio for them.  Please do not sign up it is a scam.  The audio they are advertising was done for AudioEducator.com. It appears if you pay for it you may not get anything for your pay!!!

Scam audio flyer Fionexia - please don't sign up
08/11/18 | Margie Vaught Newsletters

Now you can access and download the newsletters directly from this site. 

Margie Vaught Newsletters
07/20/18 | 2019 Proposed Fee schedule released

Proposed 2019 Fee Schedule is out – hang on to your seats…

CMS released the 12th of July the proposed changed for the physician fee schedule for 2019 (https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-07-12.html).

2019 Proposed Fee schedule released
07/20/18 | CPT updates policy of 63047 with 22633

CPT updates their policy regarding nerve root decompressions and interbody fusions

AANS, NASS and AAOS have been working hard on getting CPT to change their previous October 2016 CPT Assistant regarding nerve root decompression 63047 and interbody fusion 22633 being inclusive

CPT updates policy of 63047 with 22633
03/05/18 | Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion

You may have been experiencing feedback from a facility when trying to schedule your total knee replacements as inpatients. 

Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
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Sequester law’s Medicare provider cuts wouldn't begin until April 1

February 28, 2013 by: Burt Schorr

Sequestration is set to cut big hunks of spending from hundreds of federal activities, from the Head Start program to a second carrier for the Persian Gulf, with March 1 as the start date for putting the actual reductions in motion.

But under the law requiring the sequester, the Budget Control Act of 2011, the cut in Medicare provider payments won’t kick in until April 1, an Office of Management and Budget (OMB) spokesman confirms.

Other cut details: The provider reductions will be the maximum 2% allowed by the law, an HHS spokesman says. For home health agencies, which are paid by 60-day episodes of care, the cuts “will be determined by the day of discharge. Payments for discharges on or after April 1 would be reduced by 2%,” the spokesman explains.

A 2% cut, once it begins, could be almost as devastating for the home health industry as the interim payment system (IPS), which preceded the current prospective payment system. It closed the doors of nearly one-third of agencies between 1998 and 2000, says John Reisinger, owner of Innovative Financial Solutions for Home Health in Tampa, Fla.

The nearly 12% average profit margin on Medicare patients the Medicare Payment Advisory Commission (MedPAC) predicted for freestanding agencies in 2013 exaggerates the health of many agencies because Medicare doesn’t consider some standard expenses, such as marketing and telehealth, to be allowable costs, Reisinger contends.

For more information check out www.partbnews.com