New 2013 Coordination of Care Benefits to Increase Payments to Family Physicians

The 2013 Medicare Physician Fee Schedule adds new payments for care coordination services when transferring patients to skilled nursing facilities.  The new Current Procedural Terminology (CPT) codes (99495 and 99496) are the result of efforts by the AMA to get CMS to adopt new coverage for transitional care management services, such as discussing a care

Obtaining PCP Reimbursement for Post-Discharge Transitional Care Management

If you are a primary care provider, you may be pleased to learn that Medicare will begin providing reimbursement for post-discharge transitional care management (TCM).  In particular, Medicare will pay providers between $163.91 and $230.90 for care provided in a non-facility setting (assuming that Congress acts to prevent the 26.5% cut). Other authors in this

CMS giveth and Congress (potentially) taketh away

The commotion over the 2013 Medicare Fee schedule belies the fact that some providers seek to gain an increase in the amount of their Medicare payments in 2013. Family practice physicians can potentially gain a 7% increase in their Medicare payments in 2013 taking into account new care coordination changes. This could potentially be a

2013 Medicare Physician Fee Schedule: TOP FIVE

I had the opportunity to host MTBC’s first webinar on the final 2013 Medicare Physician Fee Schedule this past Wednesday, December 5. Although we had an excellent turn out, many interested parties were unable to attend. Shortly after the webinar ended, I received a phone call from a client requesting that I share a “Top

CMS Fee Schedule Changes for Cardiology Procedure

As we approach 2013 CMS has announced major changes to many highly used CPT codes relating to cardiology procedure.  These code changes cover coronary interventions and electrophysiology.  Physicians and coders need to be aware of these changes prior to the new year. In the past when performing a coronary intervention a physician could only bill

Will Medicare reimburse you for Skyping during 2013?

In 2001, Medicare began providing reimbursement for certain procedures performed via telehealth, but the scope of those services was so limited that a small percentage of providers benefited from the new policy.  Changes in the 2013 fee schedule are poised to somewhat alter this dynamic and make it possible for  a growing percentage of providers

The New Healthcare Requires Collaboration

Highly specialized medicine and increasing patient mobility have brought about an unprecedented interdependence in healthcare. Today’s patients are cared for by multiple specialists and any one doctor’s treatment will most certainly affect another’s domain.  For the very sake of patient safety, doctors across specialties are now expected, if not required, to share information about their

Increasing Practice Revenues with effective Ophthalmology Appointment Reminders

Busy ophthalmology practices focused on increasing revenues use a variety of techniques to increase efficiency and maximize reimbursements.  Perhaps the lowest hanging fruit for accomplishing this objective is a simple technique that is often overlooked by ophthalmology practices: Effective appointment reminders. Studies consistently show that a typical office experiences no-show rates ranging from 15 to

Check-In Kiosks and Opthalmologists

There are many reasons that people do not like going to the doctor’s office. Whether it is fear of the unknown, fear of pain or fear of the long wait, most people do not feel that the doctor’s office is a day at the beach. I fall into the last category of fears- fear of

Odds and Ends: 2013 Medicare Physician Fee Schedule

The final 2013 Medicare physician fee schedule rule has been released on November 1st, 2012. This policy and payment update sets the Medicare therapy cap amount for outpatient therapy services and payment. According to the American Physical Therapy Association (APTA), this fee schedule established the 2013 therapy cap exception at $1,900 but this exception will only