Tag Archive for ‘reimbursement’

Doctor with file

Unlisted procedures: Strategies for successful reimbursement

Reporting unlisted CPT codes, and fee-setting considerations for these codes, are the focus of this month’s column.

Surgical coding workshops

The benefits of attending a 2017 ACS Surgical Coding Workshop

This month’s column provides an overview of ACS coding workshops, including benefits of attendance, topics covered, and registration information.

Health care networks: Surprise billings for surgical patients

This article describes the College’s position on narrow and tiered health care networks and outlines surprise billings and their effect on surgeon reimbursement.

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2015 ACS Governors Survey: Surgeons describe the ACA’s effects on access to care

The findings of the 2015 ACS Governors Survey, specifically the benefits and challenges associated with the Affordable Care Act’s efforts to expand access to care, are summarized.

Coding and reimbursement for colonoscopy

Coding and reimbursement issues for colonoscopy procedures are the focus of this month’s column.

The benefits of attending a 2016 ACS Surgical Coding Workshop

This month’s column provides an overview of ACS coding workshops, including benefits of attendance, topics covered, and registration information.

The benefits of attending a 2015 ACS Surgical Coding Workshop

An overview of ACS coding workshops, including benefits of attendances, topics covered, and registration information is provided in this month’s column.

2014 fee schedule and CPT code changes will affect surgical practice

Several changes to payment policy and coding and reimbursement will take effect in 2014. Although the Medicare physician fee schedule and coding changes introduce several important payment and coding policies that will affect all physicians, this article focuses on updates particularly relevant to surgery and other related specialties.

The benefits of attending a 2014 ACS Surgical Coding Workshop

An overview of ACS coding workshops, including benefits of attendances, topics covered, and registration information is provided in this month’s column.

Replacing the SGR: The latest developments in the ACS Value-Based Update proposal

Updates on the College’s Value-Based Update (VBU) proposal are outlined, including efforts to develop additional structure for the plan and obtaining additional feedback from ACS Fellows.

SurgeonsandBundledPayment

ACS releases primer on bundled payment

The ACS recently released the Surgeons and Bundled Payment Models: A Primer for Understanding Alternative Physician Payment Approaches, which summarizes the concept of bundled payment and the effect bundled payment policies could have on surgical practices.

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Insurance exchanges under the Affordable Care Act: How will they affect surgical care?

This article describes the potential advantages and consequences of ACA insurance exchanges and outlines the two types of exchanges established in the law: the American Health Benefits Exchange for individual purchasers and the Small Business Health Options Program for businesses with fewer than 100 employees.

The benefits of attending an ACS Coding Workshop

An overview of ACS coding workshops, including benefits of attendances, topics covered, and registration information is provided in this month’s column.

Coding for hospital admission, consultations, and emergency department visits

Coding for evaluation and management (E/M) services has become even more complex due to the Centers for Medicare & Medicaid Services’ recent decision to reject the use of consultation codes and institute observation codes. This column provides sample cases that explain how to appropriately code for E/M services for a typical general surgery patient.

2013 payment policy and coding changes affecting surgical practice

Several changes to payment policy and coding and reimbursement will take effect in 2013. Although the Medicare physician fee schedule and coding changes introduce several important payment and coding policies that will affect all physicians, this article focuses on updates particularly relevant to surgery and other related specialties.

Table 1. ASCRS survey questions

Confronting the ethics, myths, and legends of restrictive covenants in the era of the contract surgeon

More and more physicians are opting for salary-structured hospital or institutional employment.

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