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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > April, 2006 Vol. VII, No. 4

Coding & Billing

Some Cases Just Aren't Worth Doing

Judith L. English

Judith L. English Just because Medicare says you can do a procedure doesn't mean you should. Many money-losing cases are spread across the spectrum of specialties on the ASC approved procedures list (see "Choose Your Cases Wisely"). Unless you know your case costs or have a carveout, you won't know, for example, that CPT 29888, ACL reconstruction, is a procedure you're bound to lose money on: Screws, washers and anchors alone can cost more than $600. Medicare's reimbursement: $510.

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Categories: General Surgery, Code/Bill/Reimburse, GYN/Urology, Ophthalmology, Orthopedics
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Time-intensive cases; Pitfalls in other procedures; Other factors to consider; ASC; Bill; CPT; Cases Wisely Description CPT Medicare Group Medicare Reimbursement Why; Establish; Group Medicare Reimbursement Why; IP; Keratoplasty; Medicare; Reimbursement Why; Request; Settlement; WC; Wisely Description CPT Medicare Group Medicare Reimbursement Why; Work; accounts; additional; administration; aging; air; allograft; allowances; anchors; approach; approved; assuring; average; base; benefits; beware; bound; business; care; carve-out; case; cases; central; centrally; clear; code; collection; comp; c... show all keywords
Time-intensive cases; Pitfalls in other procedures; Other factors to consider; ASC; Bill; CPT; Cases Wisely Description CPT Medicare Group Medicare Reimbursement Why; Establish; Group Medicare Reimbursement Why; IP; Keratoplasty; Medicare; Reimbursement Why; Request; Settlement; WC; Wisely Description CPT Medicare Group Medicare Reimbursement Why; Work; accounts; additional; administration; aging; air; allograft; allowances; anchors; approach; approved; assuring; average; base; benefits; beware; bound; business; care; carve-out; case; cases; central; centrally; clear; code; collection; comp; contracts; copy; cosmetic; cost; cover; cuff; depending; detachment; determine; determining; device; difference; document; equipment; evaluating; examples; exceed; expenses; factors; fee; fees; fiber; financial; follow; global; greatly; guidelines; gun; hallux; high; higher; hour; identify; implant; implants; including; increment; indirect; inflate; injection; inserted; instrument; joint; labor; laser; lawyer; legal; letter; list; listed; litigation; longer; lose; lower; make; managed; manufacturer; material; minimum; money; money-losing; needed; negotiations; newer; offices; ordinarily; overages; patient; payer; percentage; perform; physician; procedure; procedures; profit; prosthetic; protection; quarter-hour; ratio; receivable; receive; regulations; reimburse; reimbursement; represent; require; retinal; reviewing; schedule; self-pay; separate; separately; set; settle; similar; similarly; specialties; specialty; spectrum; spread; standard; staples; state; steer; stress; sub-q; supplier; supply; suture; technology; tendon; tight; time; tunneled; types; up-front; valgus; vaporization; varies; vary; venous; washers; wise; years

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