Our experts answer questions on payment rates for scans, bronchodilator treatment, the inpatient-only list, stereotactic radiosurgery, bill exposure with arthrodesis, and more.
The CMS Innovation Center released a request for information (RFI) in February for input from specialty practitioners on new, episode-based payment models, which could signal a move toward even more bundled payments for outpatient procedures.
When an NCCI edit occurs on a claim, providers can go directly to CMS’ website and download the latest edits to pinpoint why the edit occurred and what codes may be conflicting.