The Plastic/Reconstructive Surgery profession is continuing to experience growth in the market. Your revenue should reflect the full extent of all your hard work to build a successful Plastic/Reconstructive Surgery practice. As 2012 draws to a close, it’s time to look ahead to 2013 and new compliance regulations that will impact your Plastic/Reconstructive Surgery revenue cycle management. Yet, understanding the new world of ever changing regulations in compliance and all the complexities of your Plastic/Reconstructive Surgery medical coding, billing and collections can become a job in and of itself.
Preparations include creating or updating your Plastic/Reconstructive Surgery practice compliance plan to reflect the new changes. To help keep you up to date, the following is a list of some changes or additions to OIG regulations for 2013 that will impact your compliance and Plastic/Reconstructive Surgery medical coding, billing and collections:
- Evaluation and Management Services—Use of Modifiers During the Global Surgery Period
- Laboratory Tests—Billing Characteristics and Questionable Billing in 2010
- Laboratory Tests—Part B Payments for Glycated Hemoglobin A1C Tests
- Physicians and Other Suppliers—Noncompliance With Assignment Rules and Excessive Billing of Beneficiaries
- Physicians—Error Rate for Incident-To Services Performed by Non-physicians
- Physicians—Place-of-Service Coding Errors
- Claims Processing Errors—Medicare Payments for Part B Claims With G Modifiers (New)
- Physicians—Error Rate for Incident-To Services Performed by Non-physicians
- Evaluation and Management Services—Potentially Inappropriate Payments in 2010
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Navigating these changes and the choppy waters of Plastic/Reconstructive Surgery medical coding billing and collections requires the expertise of coders who have the specialized training necessary to effectively managing Plastic/Reconstructive Surgery revenue cycle management. Coders must be trained in:
- The ability to read and abstract physician office notes and procedure notes to apply correct ICD-9-CM and ICD-10-CM, CPT®, HCPCS Level II and modifier coding assignments
- Evaluation and management
- Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global surgery
- Coding of surgical procedures performed by plastic and reconstructive specialists such as scar revisions, facial repairs, cosmetic surgeries, etc.
- Medical terminology
- Anatomy and physiology
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Yes, with all this to keep track of, it is still possible to seamlessly merge the practice of healthcare with the business of medicine. There’s an expert in your corner who understands all these changes and how they impact your Plastic/Reconstructive Surgery revenue cycle management. Any more, it takes an industry insider with the experience that only builds when your services have responded to the specific needs of Plastic/Reconstructive Surgery practices for more than 25 years.
revMD, formerly known as Asterino & Associates, is the results-proven alternative for Plastic/Reconstructive Surgery revenue cycle management based just east of Phoenix, Arizona. They specialize in compliance for Plastic/Reconstructive Surgery medical coding, billing and collections, and maintain strict adherence to OIG regulations specific to Plastic/Reconstructive Surgery practices.
For further OIG Work Plan details: Download a PDF of the 2013 OIG Work Plan.