Q: When multiple procedures are performed, is it appropriate to charge an additional set-up fee? For example, a facility performs a colonoscopy and an esophagogastroduodenoscopy, which took a total of 20 minutes in the procedure room. The facility charged two set-up fees plus an additional five minutes of OR time. Would this be considered a duplicate charge?
CMS has spoken repeatedly of easing the burden for providers this spring, and the agency’s Quality Payment Program (QPP) proposed rule released June 20 attempts to do that for small practices and other clinicians.
Prioritization and time management are crucial when it comes to leading a revenue integrity department. Kimberly Yelton, RHIA, CCS, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, and director of revenue integrity at WakeMed Health & Hospitals in Raleigh, North Carolina, told NAHRI about her experience with this when planning and following through with department initiatives.
In an effort to promote the development of the case management profession, the Case Management Society of America and the Commission for Case Manager Certification recently entered a collaborative agreement surrounding certification and membership.
I've noticed some conflicting information in CPT Assistant and NCCI edits for CPT code 29874 (knee arthroscopy with removal of loose/foreign body). Do the NCCI edits override the advice in CPT Assistant?