November 2012 Client Newsletter
Hurricane sandy
Hurricane Sandy has passed and we
hope everyone is able to get back to normal as soon as possible. Fortunately, CPB did not experience any service
interruption. If anyone needs
assistance, please let us know.
CHANGING MEDICAL environment – We are here for You!
As you are aware, the medical
environment is changing rapidly – EHR’s, ICD-10, etc. CPB is well
prepared to help guide and support you thru all of these changes. Most of
the preparation for ICD-10 change will be handled by CPB, our software vendor, our
coders, and the insurance companies. ICD-10 is not effective until
October 1, 2014 and we have already performed our Risk Analysis.
The growing corporatization of
medicine has forced many physicians to consider giving up the independence of
private practice to merge with a larger practice or hospital. Unfortunately,
this not only takes away from the physician’s ability to provide
individualized, quality care but will not avoid problems that arise from the
inevitable changes caused by ICD-10.
If you are beginning to wonder what
effect the whole process will have on your practice, be comfortable knowing that CPB will be working with you well in
advance to ensure your cash flow is not interrupted. Our success is tied to
your success and we are partners in this challenging transformation.
We appreciate the opportunity to
serve you and look forward to helping you through the upcoming 2 years of ICD-10
changes.
HOME INR TESTING & PAYMENT
Medicare covers 2 INR codes:
- G0248: “Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results. Medicare’s Allowed Amount for southern NJ is $140.25.
- G0250: “Physician review, interpretation, and patient management of home INR testing for patient with either mechanical heart valves(s), chronic atrial fib, or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week, billing units of service include 4 tests per unit.†Medicare’s Allowed Amount for southern NJ is $9.68 and is billable every 4 weeks.