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Coding Tip
You may not charge for a saturation biopsy (55706) if you are performing a trans-rectal biopsy regardless of the number of biopsy samples taken.
Practice Resources
Medicare pay cut averted; Congress OKs two-month patch
Physicians got a brief reprieve from a 27 percent Medicare pay cut Friday when the U.S. House of Representatives reached agreement with the Senate on a two-month extension of important policies that expire on Jan. 1.
The U.S. Senate last week voted to extend current Medicare payment rates for two months. After first balking at the two-month extension earlier in the week, the House reached an agreement Friday with the Senate to extend the payment rates, as well as the 2 percentage point Social Security tax cut and to extend unemployment benefits. A House-Senate conference committee will convene in January to work on a longer-term agreement. [MORE]
Reimbursement News
Practice Managers Network
Whether you are a solo practitioner running your own business or you employ a professional administrator, the challenges of running a urology practice today require access to expert advice and updates on the ever-changing healthcare environment. This network of urologists and practice managers is a fee-based program that every urology practice should utilize.
Effective Patient Collections - Best Practices
Medical practice’s wishing to successful navigate the fast changing healthcare reimbursement environment, must move to working smarter not harder. Confronting declining payments, increasing patient responsibility payments, escalating operational cost, and weak margins, efficient billing and collections processes are essential. Most practices leave 10-20 percent (conservatively) reimbursements on-the-table due to poor process, staff skill levels, lack of technology, and ineffective management. In theory this appears an easy mantra but implementing effective collections processes and operational efficiencies requires a focused ongoing team effort.... [MORE]
Practice Management Network
Mark Painter
Ray Painter, MD, FACS
Physician Reimbursement Systems 2635 Walnut Street Denver, Colorado 80205
Phone: 800-972-9298 Fax: 303-534-0577 PRSNetwork.com
* Unlimited access to the AUA Coding Hotline—non-subscribers pay $25 per call
* Unlimited access to the Managers' Q&A E-mail Forum—you can receive messages
all day long or receive a single daily digest of the correspondence
* A free copy of the annual Practice Manager's Tips booklet—full of advice on
handling challenging management problems
* Member rates to select AUA-sponsored educational seminars and webinars
* AUA Health Policy Brief newsletter on line—subscribers are provided access via
e-mail
* Practice Management E-News—an electronic newsletter sent monthly to
subscribers by e-mail
* Unlimited online access to the Top 100 Medicare fees for Urology; AUANews, the
official newsmagazine of the AUA; and UroSTAT!, the AUA's electronic newsletter
designed to give you the latest information about current health policy events and
information relevant to you and your practice.
* Friendly advice from our department staff about issues like EHR, billing and human
resources
Subscribe to Our Network and Receive All of These Benefits
Physician Reimbursement:
How it All Adds up for the Urologist
Members often call the AUA with questions about reimbursement: Is there a Current Procedural Terminology (CPT) code to report the surgical procedure performed and how did that code come about? Who determines the reimbursement payment? Why is my reimbursement going down/up? What is the importance of completing a RUC survey? Here, we review the basics and tell you everything you need to know about how physician payment is determined and how you can play a role. ...[MORE]
Stephanie N. Stinchcomb, CPC, CCS-P, ACS-UR
Manager of Reimbursement
Regulation, Reimbursement & Quality
AUA Feature Article
Health Reform
Summary of New Health Reform Law
On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act, into law. The following summary of the law, and changes made to the law by subsequent legislation, focuses on provisions to expand coverage, control health care costs, and improve health care delivery system. ...[MORE]
The Henry J. Kaiser Family Foundation
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