Blog

Home / Blog

New Guidance – Medicare Physician Fee Schedule

Some changes you’ll find in the April 2016 update actually went into effect the first of the year.

They are:

HCPCS Level II code G0464 Colorectal cancer screening; stool-based DNA and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3) is now assigned a procedure status of I Not valid for Medicare purposes. Medicare uses another code for reporting of, and payment for, these services. (Code not subject to a 90 day grace period)

CPT 10030 is now assigned global period days of 000 Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day of the procedure generally not payable.

CPT 77014 is now assigned a PC/TC indicator of 1 Diagnostic tests/radiology services. These codes generally have both a professional and technical component. Modifiers 26 and TC can be used with these codes.

CPT 80055 is now assigned a procedure status of X Statutory exclusion. These codes represent an item or service that is not in the statutory definition of “physician services” for fee schedule payment purposes. No RVUs or payment amounts are shown for these codes and no payment may be made under the physician fee schedule. (Examples are ambulances services and clinical diagnostic laboratory services.)

Medicare administrative contractors will not search their files to either retract payment for claims already paid or retroactively pay claims. It is the responsibility of the healthcare provider to correct claims for these codes.

Effective for services performed on or after April 1, 2016:

G9678 is assigned a procedure status of X

G9481 (Remote E/M new patient 10 mins) has a PE RVU = 0, all other MPFS indicators/values = 99201

G9482 (Remote E/M new patient 20 mins) has a PE RVU = 0, all other MPFS indicators/values = 99202

G9483 (Remote E/M new patient 30 mins) has a PE RVU = 0, all other MPFS indicators/values = 99203

G9484 (Remote E/M new patient 45 mins) has a PE RVU = 0, all other MPFS indicators/values = 99204

G9485 (Remote E/M new patient 60 mins) has a PE RVU = 0, all other MPFS indicators/values = 99205

G9486 (Remote E/M est. patient 10 mins) has a PE RVU = 0, all other MPFS indicators/values = 99212

G9487 (Remote E/M est. patient 15 mins) has a PE RVU = 0, all other MPFS indicators/values = 99213

G9488 (Remote E/M est. patient 25 mins) has a PE RVU = 0, all other MPFS indicators/values = 99214

G9489 (Remote E/M est. patient 40 mins) has a PE RVU = 0, all other MPFS indicators/values = 99215

G9490 (Joint replace mod home visit) with all MPFS indicators & RVUs = those of G9187.

Codes G9481-G9490 are new and are assigned Type of Service 1 Medical care.

Source: MLN Matters MM9531

Read More...

Bristol Healthcare services Recognizing employees on their achievement.

Absenteeism and turnover affects cost and production.  Productivity drops when companies are understaffed, as can the quality of services.  Employees must fill in for absent or departed co-workers on top of performing their own duties; overworked employees are prone to fatigue and illness, which can compound absenteeism.  Also, customers become dissatisfied when businesses lack the number of workers needed to meet their demands. The CCH survey sets the annual cost of absenteeism for small businesses at $602 to $789 per employee.  Overtime pay for temporary coverage is a major portion of the cost.  Replacing an $8-per-hour employee costs a small business $5,500 on average, excluding benefits.  Advertising, recruiting, training and overtime pay factor into rehiring costs.

At Bristol Healthcare Services we know “Dead wood doesn’t”. Philosophically, employee retention is important; in almost all cases, it is senseless to allow good people to leave organization. When they leave, they take with the intellectual property, relationships, investments (in both time and money), and occasional employee or two, and a chunk of your future. Employee Retention Strategies helps organizations provide effective employee communication to improve commitment and enhance workforce support for key corporate initiatives.  Effective employee retention is a systematic effort by employers to create and foster an environment that encourages current employees to remain employed by having policies and practices in place that address their diverse needs. A strong retention strategy becomes a powerful recruitment tool.  This entered Bristol Healthcare Services vein form the day one, so that we are top rated as the Best Employer among most of the Healthcare Revenue Cycle Management companies.

Our Strengths 

40% achieved 100% attendance in the fiscal year 2015-2016 – Awarded $100 Gift voucher each

87% achieved 100% Production in the fiscal year 2015-2016 – Awarded $100 Gift voucher each

32% achieved 100% attendance and Production – Awarded $100 Gift voucher each + Two days paid vacation

This is how we were able to deliver high production at the best TAT.

Our Moto is to “doing the right things for our employees

Read More...

Why a Periodic Visit to the Physician office?

1. General Health check-up

Staying up to date with recommended vaccinations and screenings is a vital part of good health. Periodic health exams and treatment is important because it not only improves the overall prognosis of the disease, but also provides the best opportunity for a cure.

2. Knowing Your Records

Do you know what your cholesterol or blood pressure is? More than 50% of Americans have never had their cholesterol checked. Given that 33.5% of American adults have elevated “bad” cholesterol, and that having high total cholesterol approximately doubles the risk of heart disease, it’s important to get a jump on these numbers. Meanwhile, 31% has high blood pressure, which is a known risk factor for heart attacks, strokes, and kidney disease. Cholesterol and Blood pressure check be responsible for a baseline to compare to over time, so it’s valuable to obtain these numbers while you’re still considered young and healthy. If nil, you can print out the numbers and use them as motivation to be healthier and beat them next year.

3. Crafting Your Medical Record

Periodic visits to the doctor are a chance to update your personal medical record. Most clinics and hospitals apply an EMR to store health information. These histories are important because they are readily available to affiliated hospitals in the event of an emergency.

4. Patient Relationship – Establishing a Trusting Doctor

One of the most blessed parts of medicine is the doctor-patient relationship. This relationship is not built instant, but requires multiple interactions to allow the doctor to really understand the patient. This is particularly important because it can affect the treatment that is prescribed. It is not until a physician understands a patient’s history and values that he or she can help to the best of their abilities. Another major benefit of being an established patient is that most practices have 24/7 help lines; so when it’s weekend night with no one around and nothing open, patients still have access to a familiar physician whom they can call for help.

5. (Effectively) Free Prevention!

Even the most basic insurance companies typically cover the cost of an annual preventive care visit, including necessary lab tests. There might be small co-pay at the time of the visit, but this is usually not more than $25. Physician will meet one-on-one to discuss your personal health needs and concerns. Talk about VALUE FOR THE MONEY SPENT!

Reward – Hello Member here is your Reward

Dear Member, Welcome to Dr.____________________________________ office.

Our aim is to provide high standard of healthcare within the scope of available resources. We recognize the benefit in keeping our members well informed and involved in both their own care and that those whom they care for at home. Please ensure that an urgent appointment with Doctor will be given within _____ hours. Also, you can cancel or change your Active Medical appointment without incurring any fees, as long as you give us at least 24 hours in advance. To cancel or change your appointment please phone us on (_____)- ______-______ so that it can be offered to someone else.

FAILING TO ATTEND APPOINTMENTS IS WASTE OF RESOURCES

Read More...