99460- 99465 Alert: Protect Your Hospital Well Care Pay With EOB Check

Are you receiving one-third less for 99460- 99465? Here’s what to do.
You know insurers aren’t Flash Gordons when it comes to implementing coding changes but recent cuts on the normal newborn hospital care CPT 2009 codes take the cake.
“Monitor your statements to make sure you’re getting paid appropriately for 99460-99465,” says Richard Tuck, MD, FAAP, pediatrician at PrimeCare of Southeastern Ohio in Zanesville. “We […]

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Watch the Mail If You’re Part of the BCBS Settlement

If your physician was part of the Blue Cross Blue Shield settlement, you should expect a check by the end of August.
BCBS began sending checks on July 22. The payer will be sending out more than $131 million as part of this settlement.
If your practice properly filed a claim and you either don’t receive a […]

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Medicare Coverage for Bariatric Surgery: Do You Know These BMI Guidelines?

Question: I heard that Medicare made some changes about diabetic patients’ eligibility for bariatric surgery. Do we have to pay more attention to the patient’s BMI?
Answer: A few months ago, Medicare did implement some new regulations for bariatric procedures for diabetic patients.
The rule: If your physicians perform bariatric surgery procedures on diabetic patients you need to take […]

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