MVP Fastfax East #20: Medical Policies Available for Providers

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MVP Fastfax East #20: Medical Policies Available for Providers

June 20, 2013 #20 MEDICAL POLICIES AVAILABLE FOR PROVIDERS AT WWW.MVPHEALTHCARE.COM All policies may be viewed by logging in on the provider page of the MVP Health Care Web site at www.mvphealthcare.com. Next, click the “Online Resources” link and then select “Medical Policies” to view all currently effective and updated policies. All policies are reviewed at least once annually. A FastFax is sent out one month prior to the effective date listing the policies and their status. Policies can fall into one of the following categories: • New – Denotes a new policy. • Updated – Updated policies have content changes which may affect coverage criteria for services and/or drugs. • Review/No Changes – Policies that have been reviewed but have no content change. • Archived – Policy is not active. The following policies are effective August 1, 2013 and will be available for viewing on or before July 1, 2013. Hard copies of the policies are available upon request. Policy Name Status Policy Name Status Ambulatory Holter Monitor Review Mechanized Spinal Distraction Therapy Review Artificial Heart Review Medical Policy Development Review Bariatric Surgery Updated Monitored Anesthesia Care Review Benign Skin Lesions Updated Needle-free Insulin Injector Review Breast Surgery for Gynecomastia Review Negative Pressure Wound Therapy Pumps Updated Cardiac Output Monitor Review Nesiritide Infusion for Heart Failure Review Cardiac Procedures Review Pectus Excavatum Review Cardiac Rehabilitation Phase II Review PEEK Instrumentation & Devices New Chiropractic Care Updated Photodynamic Therapy Updated Clinical Guideline Development Review Phototherapy, Photochemotherapy Review Cold Therapy Devices Review Pulmonary Rehabilitation Review Continuous Passive Motion Devices Updated Rhinoplasty Review Deep Brain Stimulation Review Sacral Nerve Stimulation Review Eating Disorders Updated Septoplasty Review Electromyography & Nerve Conduction Studies Updated Skin Endpoint Titration Review Emergency Department Services Review Spinal Cord Stimulator Review FISH Testing for Bladder Cancer Screening New TMJ/NY/NH Updated Foot Care Review TMJ/VT Updated Gender Reassignment Surgery New Thermal Intradiscal Procedures Review Home Uterine Activity Monitoring Review Transplants Review Insulin Infusion Pumps Review Vision Therapy Updated Laminectomy, Hemilaminectomy Review Vitiligo Treatment Review Light Therapy for SAD Review Wheelchair (Manual) Review Magnetoencephalography Review If you have any questions with respect to this notice, please contact your Professional Relations Representative. .

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Coding Billing
CodingCoding&Billing FEBRUARY 2020 Quarterly Editor’s Letter Welcome to the February issue of the ATS Coding and Billing Quarterly. There are several important updates about the final Medicare rules for 2020 that will be important for pulmonary, critical care and sleep providers. Additionally, there is discussion of E/M documentation rules that will be coming in 2021 that practices might need some time to prepare for, and as always, we will answer coding, billing and regulatory compliance questions submitted from ATS members. If you are looking for a more interactive way to learn about the 2020 Medicare final rules, there is a webinar on the ATS website that covers key parts of the Medicare final rules. But before we get to all this important information, I have a request for your help. EDITOR ATS Needs Your Help – Recent Invoices for Bronchoscopes and PFT Lab ALAN L. PLUMMER, MD Spirometers ATS RUC Advisor TheA TS is looking for invoices for recently purchased bronchoscopes and ADVISORY BOARD MEMBERS: PFT lab spirometer. These invoices will be used by theA TS to present practice KEVIN KOVITZ, MD expense cost equipment to CMS to help establish appropriate reimbursement Chair, ATS Clinical Practice Committee rates for physician services using this equipment. KATINA NICOLACAKIS, MD Member, ATS Clinical Practice Committee • Invoices should not include education or service contract as those ATS Alternate RUC Advisorr are overhead and cannot be considered by CMS for this portion of the STEPHEN P. HOFFMANN, MD Member, ATS Clinical Practice Committee formula and payment rates. ATS CPT Advisor • Invoices can be up to five years old.
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