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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.

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:   â€œPhysician 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.

For both codes be sure to include a Diagnosis for the medical condition that requires the INR monitoring (A Fib, etc.), as well as V58.83 & V58.61.  We can update your Healthpac Charge form if it does not already have the necessary codes.
2012 Client Newsletter Archive