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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > June, 2005 Vol. VI, No. 6

Coding & Billing

Billing for Terminated Procedures

Stephanie Ellis, RN, CPC

Stephanie Ellis, RN, CPC When procedures are terminated before or after anesthesia is administered, it's not always easy to know what you can and can't bill to Medicare. Here's how to make sure your facility doesn't lose money in these instances.

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Defining a terminated procedure; Examples of when you can bill; Documentation requirements; AMO's ReZoom; ASC; ASC. Documentation; ASCs; AcrySof ReStor; Alcon's AcrySof ReStor; Ambulatory Payment Classifications; Append; Bill; CMS; CMS. Eyeonics' Crystalens; CPT; Classifications; Clinical; Crystalens; Demerol; EKG's; Eyeonics' Crystalens; GERD. ? CMS; HOPD; IOL; IOLs; IV; July; Medicare; NDO Surgical. Clinical; News; Notes ? ASC; OR, IV; Office News; Patients; Payment Classifications; Plicator; Providers; ReStor; ReZoom; Surgical. Clinical; abnormal; actual; add; additional; administers; advan... show all keywords
Defining a terminated procedure; Examples of when you can bill; Documentation requirements; AMO's ReZoom; ASC; ASC. Documentation; ASCs; AcrySof ReStor; Alcon's AcrySof ReStor; Ambulatory Payment Classifications; Append; Bill; CMS; CMS. Eyeonics' Crystalens; CPT; Classifications; Clinical; Crystalens; Demerol; EKG's; Eyeonics' Crystalens; GERD. ? CMS; HOPD; IOL; IOLs; IV; July; Medicare; NDO Surgical. Clinical; News; Notes ? ASC; OR, IV; Office News; Patients; Payment Classifications; Plicator; Providers; ReStor; ReZoom; Surgical. Clinical; abnormal; actual; add; additional; administers; advanced; agree; alarms; allowable; allowance; allowed; anesthesia; anti-reflux; anxiety; area; arthroscope; arthroscopic; assigned; begins; beneficiaries; bill; billed; blood; body; box; broader; cancelled; case; cataract; center; charge; close; code; codes; common; completed; completes; complication; confuse; consultant; continues; costs; coverage; covered; date; decides; deduct; definition; department; difference; discontinued; disease; documentation; drop; due; easy; effective; endoscopic; establish; exceed; expended; extra; facilities; facility; fall; figure; finding; fluids; full; fully; gastroesophageal; general; generally; good; group; gurney; happen; heart; high; higher; hospital; immediately; inadvertently; incisions; including; incomplete; incurred; insertion; inserts; intended; invasive; knee; left; linked; list; lose; make; means; medial; medical; medication; meniscectomy; minimally; modifier; money; newly; news; normal; offered; op; opened; operative; out-of-pocket; outpatient; packaging; paid; patient; patients; pay; payment; percent; perform; performed; physician; planned; portals; post-procedure; pre-medication; pre-op; prepared; presbyopia-correcting; pressure; procedure; procedures; provided/used; rate; rates; receive; recognized; recorded; reducing; reflux; reimburse; reimbursement; repair; report; request; requirements; restores; retrospectively; reverse; ruling; service; shown; spent; stage; standard; started; starting; studies; substantial; substantially; sudden; surgeon; surgeon-signed; surgery; symptoms; system; team; technology; terminated; tied; treatment; unused; updated; valid; work; working

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