decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 9 (September)
Getting paid - ASP stays steady for high-volume drugs and supplies in anesthesia, pain practices
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Article Overview
This article covers quarterly Medicare payment-limit updates for high-volume drugs and supplies commonly billed by anesthesia and pain practices. It is useful for billing and compliance staff who monitor reimbursement changes, date-of-service timing, and carrier payment accuracy. The article focuses on a small set of HCPCS drug and supply codes, their current payment limits, and the size of quarter-over-quarter changes.
Why This Topic Matters
Even small ASP changes can affect reimbursement tracking, claim review, and payment reconciliation in office-based anesthesia and pain practices. The article helps readers understand which commonly billed supplies and injectable drugs were updated for the quarter and why carriers should be checked for claims on or after the effective date.
What You Will Learn
- How quarterly payment-limit updates affect commonly billed drugs and supplies
- Which anesthesia and pain practice items experienced the largest payment-limit movement
- Why date-of-service and carrier review matter for quarterly reimbursement updates
- What kinds of HCPCS drug and supply codes are included in the update
Who Should Read This
- Anesthesia coders
- Pain management billing staff
- Compliance auditors
- Practice managers
- Medical billers
Codes Discussed
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Quick, Current, Complete - www.findacode.com