Practice Management

  • 1.  Medicare Vein Ablation Pre-Auth

    Posted 07-02-2020 09:34

    In recent days there has been some news reporting and an RBMA blog post about Medicare vein ablations requiring pre-auth when performed in a hospital outpatient setting.   As best I can tell, this only impacts hospital reimbursement, and wouldn't impact physician reimbursement.  Does anyone read it differently?

     

    See:  https://www.rbma.org/RBMAMembers/RBMAMembers/News/Blogs/CodingBlog.aspx?WebsiteKey=c0b5773b-35ad-46b6-a5d3-a2ab26b9f328

    and https://www.cms.gov/files/document/r10155otn.pdf

     

    Thanks

     

    Dave

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    5800 Foxridge Dr.  Ste. 240 |  Mission, KS  66202  |  www.uickc.com

     

    DeepHealth May25 Post


  • 2.  RE: Medicare Vein Ablation Pre-Auth

    Posted 07-02-2020 09:41
    If the hospital's prior authorization request is "non-affirmed", then all associated claims will be denied. 

    33. Q: The Rule states that any claims associated with or related to a service that
    requires prior authorization for which a claim denial is issued would also be denied.
    What types of associated services will be denied?
    A: Associated/related (professional) services will be denied when there was a nonaffirmation prior authorization request decision for the hospital OPD service(s), regardless
    of whether a claim is submitted or not, or there was no prior authorization request on file,
    and the hospital OPD claim was denied. These associated services include, but are not
    limited to, services such as anesthesiology services, physician services, and/or facility
    services.

    Donna Richmond, BA, RCC, CIRCC, CPC
    Senior Healthcare Consultant

     

    651-424-4225

    C 337-412-2272
    www.panaceainc.com

     

     

    Subscribe to Panacea Insights

    Stay up to date on the latest in healthcare coding,
    compliance, and reimbursement

     

     

    *HFMA staff and volunteers determined that CDMauditor® – Hospital Zero-Base Pricing® and related modules have met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.   

     

     

     





    DeepHealth May25 Post


  • 3.  RE: Medicare Vein Ablation Pre-Auth

    Posted 07-02-2020 09:49

    I'm glad I asked.  Thanks!

     

    Dave

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    5800 Foxridge Dr.  Ste. 240 |  Mission, KS  66202  |  www.uickc.com

     




    DeepHealth May25 Post


  • 4.  RE: Medicare Vein Ablation Pre-Auth

    Posted 07-02-2020 09:53
    By the way, the operational guide says that associated claims may be automatically denied or denied on a postpayment basis. https://www.cms.gov/files/document/opd-operational-guide.pdf

    Donna Richmond, BA, RCC, CIRCC, CPC
    Senior Healthcare Consultant

     

    651-424-4225

    C 337-412-2272
    www.panaceainc.com

     

     

    Subscribe to Panacea Insights

    Stay up to date on the latest in healthcare coding,
    compliance, and reimbursement

     

     

    *HFMA staff and volunteers determined that CDMauditor® – Hospital Zero-Base Pricing® and related modules have met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.   

     

     

     





    DeepHealth May25 Post