Tag Archives: Payment

CMS releases final site neutral and other payment rules

The Centers for Medicare and Medicaid Services has finalized major policy changes including a controversial decision to move forward with site neutral payments and to make cuts to the 340B drug program. CMS will complete a two-year phase-in of site neutral payments for clinic visits to off-campus hospital outpatient settings, despite a district court ruling… Read More: CMS releases final site neutral and other payment rules »

Commentary: Novartis CEO: Gene therapy offers hope of cures in a treatment, but US needs new pricing, payment model

We live in an incredible era of progress in human health. Advances in cell and gene therapies are beginning to yield powerful new treatments for some of the most devastating illnesses. With many of these new therapies we are no longer combating diseases over time, but potentially curing them in a single treatment. This is… Read More: Commentary: Novartis CEO: Gene therapy offers hope of cures in… »

93505 Does Not Ensure Payment But Goes With Heart Procedures

by Derek K. Miller Does your anesthesiologist participates in cardiac surgery case? If so, chances are he uses a pulmonay artery (or PA) catheter during the procedure. PA catheters make the list of monitoring devices you can often code separately from other services; as such, you should keep these two tips in mind if you… Read More: 93505 Does Not Ensure Payment But Goes With Heart Procedures »