In this column, we outline the issues that we know will be important in 2014 and discuss what we think might be implemented by Medicare for 2014.
Ray Painter, MD
Make sure that you are coding correctly for the instillation based on the type of drug you are using and charge separately for the drugs that are instilled.
What does this all mean to the practicing urologist? Here is an overview of what to expect in the months and years ahead.
In a recent audit of urodynamics charges, Medicare recognized some codes but not others, and the documentation for all services that were reviewed only included the report from the urodynamics machine. This review pointed out the lack of understanding of these codes by payers and physicians.
There are many aspects of the business of medicine that are difficult to influence. Here are some ways that you can have some control.
Private payer rules differ from Medicare rules. From payment for procedures to globals, bundling, coverage, and modifier usage, private payers are not required to use Medicare rules.
Once again we face a Medicare payment update for the new year that raises a number of questions, the answers to which are not favorable to practicing urologists.
The issues are too complex for a simple answer when it comes to 'incident to' billing.
As the debate over health care reform rages, one thing is certain: Regardless of what happens in Washington, changes will occur in 2010 that will directly affect your practice.
The definition of "consult" has moved the target for reimbursement over the years.