Welcome to the Omega Technology Solutions newsletter!
Our group is very excited because we have the necessary tools to make your operations work more efficiently and smarter.
Please check out the articles below to learn more.
You can find an archive of our newsletters by going to:
www.omegatechnologysolutions.com/Newsletters.htm
On that same page, you can access our FAQ Blog. Send us questions, and we'll get you the answers. Please, check it out!
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Coding Quandary????
The AMA has issued many code changes for 2010. These changes include over 220 new codes and 76 deletions. CPT Category II alone had 96 new codes and 14 deletions.
Notable changes -
All of the AJCC cancer staging codes changed. The old codes 3302F - 3312F have been replaced by new codes 3321F-3322F and 3370F-3390F.
New category III codes for sacral augmentation;
0200T - Percutaneous sacral augmentation; unilateral
0201T - Percutaneous sacral augmentation; bilateral
Radiology codes 72291 or 72292 should also be reported depending on the use of fluoroscopic or CT supervision and interpretation.
Deleted category III codes;
0064T - Spectroscopy, expired gases has been replaced with
94799 - Unlisted pulmonary service or procedure
0066T - CT colonography; screening has been replaced with
74263 - CT colonography, screening, including image
post processing
CPT code 36145 - Introduction of needle or intracatheter into AV shunt for dialysis has been replaced by two new "all inclusive" codes:
36147 - Introduction of needle and/or catheter, AV shunt for dialysis; initial access including complete radiological evaluation of dialysis access, including fluoro, image documentation and report as well as contrast injections;
36148 - Introduction of needle and/or catheter, AV shunt for dialysis; additional access including complete radiological evaluation of dialysis access, including fluoro, image documentation and report as well as contrast injections.
In conjunction with the deletion of 36145, CPT code 75790 has also been deleted. Please be sure you are reporting these procedures properly and NOT overcoding. This change represents a substantial decrease in reimbursement for this procedure. In 2009, the reimbursement for 36145 was packaged into the payment for 75790 which was $682 however, in 2010, the reimbursement for the all inclusive code 36147 is $161.
And one more thing . . . the drug administration codes did not change for 2010!! Now that's something to be thankful for!
The Omega team stands poised to help you with your needs. Our OCExaminer is a great tool to utilize for compliance and claim issues and addresses everything from incorrect data elements, to missing interventional radiology codes, to RAC alerts. WebCDM offers a comprehensive review of your charge master and provides a current, up to the minute analysis. These services are web based and are available 24/7. |
Find out more about ChargeMaster...
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Got It Covered??
Effective January 1, 2010, CMS has provided coverage for pulmonary rehabilitation services and KDE (Kidney Disease Education). Below are the new codes and reimbursement rates assigned to these services.
G0420 - Face-to-face educational services related to the
care of chronic kidney disease; individual, per session,
per one hour
G0421 - Face-to-face educational services related to the
care of chronic kidney disease; group, per session,
per one hour.
Services for KDE are reportable by a physician and are reimbursed off of the physician fee schedule. The reimbursement rates are from $77 - $117 for G0420 and $17 - $27 for G0421.
G0424 - Pulmonary rehabilitation, including exercise, one
hour, per session, up to 2 sessions per day
This service has a status indicator of "T" and is reimbursed at $50.46 per unit billed.
So make sure your facility has the reporting of these new services
"covered" to take full advantage of available reimbursement. |
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"RAC"ing Your Brain?? |
There are several new approved RAC issues including MS-DRG's. The MS-DRG reviews are currently excluded from medical necessity validation, but are being audited to determine that diagnostic and procedural information along with discharge status being reported by the facility, matches both the attending physician documentation and the patient's medical record.
To get more information on RAC issues, go to:
http://www.cms.hhs.gov/RAC/01_Overview.asp#TopOfPage
Our company has the tools you need to capture every dollar you rightfully have coming to you while remaining fully compliant. With our Lost Charge Recovery engagements, we perform a retrospective comparison of medical records and billing to determine accuracy and completeness; and do any necessary rebilling for you. Our OCExaminer analyzes claim data to ensure compliance and accuracy of coding and data elements along with completeness of charges. WebCDM provides a complete review of your chargemaster and shows you exactly what your CDM issues are.
OCExaminer and WebCDM are web-based and available 24/7 giving you the flexibility you need to review your claims and CDM in order to receive maximum reimbursement.
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Thanks for your time!
Sincerely,
Ann Fierro, RN, CPA, MBA
President and News Editor
Omega Technology Solutions | |
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| Thanks to Everyone! |
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We want to thank everyone of you who took the time to answer the surveys sent out by HFMA. We are so proud to have earned this prestigious designation!
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Putting the Pieces Together |
| 2010 Hospital Impact Survey
Are you interested in claims scrubbing solutions that optimize revenues? |
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