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.
The question is no longer if health care reform will occur, but when and what it will look like.
The 2009 Medicare Physician Fee Schedule final rule was recently published, containing many important changes in reimbursement for urologists.
The regulations guiding the Centers for Medicare & Medicaid Services for the establishment of the 2008 physician fee schedule remain unchanged for the most part.
Codes vary by cancer type, but liability for bladder Ca diagnosis rests with the doctor
Control of postoperative pain is usually considered follow-up care similar to wound care, removal of sutures, and other related services.