decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 1 (January)
Watch site of service to avoid a denial for arteriovenous fistula
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Article Overview
This brief article addresses whether certain arteriovenous fistula procedures can be performed in an office setting and still be paid. It is aimed at coders and billing staff who need to understand site-of-service considerations, facility versus non-facility payment context, and Medicare denial risk for these procedures.
Why This Topic Matters
Understanding where a procedure may be performed and reimbursed helps prevent denials and avoidable payment issues for office-based vascular access services.
What You Will Learn
- The article’s focus on site-of-service and payment considerations for arteriovenous fistula procedures.
- How the discussion relates to office settings and Medicare denial risk.
- Why coders and billing staff should pay attention to non-facility reimbursement context.
- What the article says about the relevance of relative value units to these procedures.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Vascular surgery practices
- Dialysis access providers
Codes Discussed
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