tci Medicare Compliance & Reimbursement - 2003 Issue 8

Medicare: OIG CONTINUES TO FRET OVER MULTIPLE PROCEDURE CLAIMS

As part of an extensive series of reviews on how well Medicare contractors handle Medicare claims from ambulatory surgical centers, the HHS Office of Inspector General has taken the measure of six carriers’ processing of multiple procedure claims. The results, as in other reviews, suggest that Medicare claims processors will be taking a closer look at ASC claims for multiple procedure claims performed in a single surgical session. Under Medicare rules, when multiple services are provided in the same operative session, the highest-paying procedure gets reimbursed in full while the others get paid at one-half the normal rate. However...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.