March 2013
The essential resource for your practice
Volume XXI, Number 3

CMS to AMA: ICD-10 Deadline Final

AUA Preparing to Help Members with Conversion In response to a plea from the American Medical Association (AMA) to halt the International Classification of Diseases Version 10 (ICD-10) conversion and consider alternatives, Acting CMS Administrator Marilyn Tavenner, in a letter to the AMA dated February 6, 2013, reiterated that the deadline for ICD-10 conversion will not change. 

Table of Contents


Coding Corner:

Can a Medical Assistant Perform Biofeedback?

Deadline Comes and Goes, Congress No Closer to Deal to Avoid Sequestration Cuts

As the February 28 deadline to avoid sequestration passed with no intervention from Congress, the nation is bracing for the $85 billion in federal spending cuts set to take effect. Consequences are expected to be felt as soon as April 1.  

Health programs, including Medicare payments, research monies and federal funding of graduate medical education (GME) are some of many that will be affected by the sequester. Medicare providers and insurers are facing a 2 percent reduction in payments, and the cuts are expected to also have a disproportionate impact on medical schools and teaching hospitals due to 2 percent reductions in GME funding. Both of these impacts have the potential to be devastating to an already overtaxed healthcare system. 

Claim Denied? Check the CMS Inpatient Only List

There are many reasons that a claim can be denied, but did you know that a denial could result from a CPT code being on the Centers for Medicare & Medicaid Services (CMS) inpatient only list?

As you may be aware, inpatient-only procedures are those that CMS has determined providers must perform on an inpatient basis because the patient has an underlying serious condition.

As Part of Choosing Wisely Campaign, AUA Identifies List of Commonly Used Tests and Treatments to Question

On February 21, 2013, the AUA released a list of specific tests and procedures that are commonly ordered but not always necessary in urology as part of the Choosing Wisely® campaign. This program, spearheaded by the American Board of Internal Medicine (ABIM) Foundation, is designed to not only eliminate unnecessary interventions and reduce skyrocketing healthcare spending but also to provide patients with understandable, clinical information that spurs conversations with their healthcare providers and allows more active participation in their care.