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
 
07/10/17 | New Category III codes effective Jan 1st, 2018
 

You will want to update your bone marrow aspiration coding for 2018 as well as some adipose-derived cell therapy for hands

New Category III codes effective Jan 1st, 2018
 
07/10/17 | Spinal surgery
 

If you do any spinal surgery you want to be aware of the Medicare changes that are taking place regarding number of levels, number of cages as well as diagnosis issues.

Spinal surgery
 
06/10/16 | CMS starting to list ICD-10s not covered
  Unspecified ICD-10 codes be careful
CMS starting to list ICD-10s not covered
 
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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.  As of the May 2018 it appears that those specialty societies have accomplished CPT/AMA to change that policy.  In the May 2018 issue they reversed their previous October 2016 Assistant stating:

On further analysis of this issue, it was demonstrated that this recommendation was inconsistent with previously published CPT® Assistant advice, which is that codes 22633 and 63047 may be reported for the same interspace when additional work is required to complete a decompression at a single spinal level. It is also appropriate to report codes 22633 and 63047, if the two procedures are performed at different interspaces. Modifier 59, Distinct Procedural Service, should then be appended to indicate that these are two distinct procedures.

This correction aligns the coding advice with historical precedent published prior to the incorrect revisions in advice given in the October 2016 FAQ.”

However, this change does not appear to have affected Medicare’s opinion via the NCCI guidelines Chapter Four which states that they continue to feel that 63047/63042 are inclusive in 22630/22633 unless performed at a different interspace.  Meaning that if they did nerve root decompressions of L2, L3, L4 and L5 and also did a PLIF (22630) or double fusion (22633) and L4/5 – you will only be able to report 63047-59 (L2 nerve root); 63048-59 (L3 nerve root) as the nerve root decompressions of L4 and L5 will continue to be bundled into the 22630/22633.

What this change does to is allow you to use it in an appeal with your private payers if they deny your reporting of 63047 and 63048s with 22633 when performed at the same levels. But keep in mind, if your contracted payers state that they follow NCCI guidelines and edits, they may still be able to deny reimbursement.

NASS and the other societies are still trying to work with Medicare/NCCI to over-turn this bundling but as of the updated 2nd quarter edits it is still there.