AMBULATORY SURGERY CENTER PARTNERSHIP - ASC PARTNERSHIP PROGRAM - ASC PARTNERSHIP PROGRAM - PAGE 1

Size: px
Start display at page:

Download "AMBULATORY SURGERY CENTER PARTNERSHIP - ASC PARTNERSHIP PROGRAM - ASC PARTNERSHIP PROGRAM - PAGE 1"

Transcription

1 AMBULATORY SURGERY CENTER PARTNERSHIP - ASC PARTNERSHIP PROGRAM - ASC PARTNERSHIP PROGRAM - PAGE 1

2 Headquartered in Atlanta, Georgia Regional Offices located in the Mid-West and Southeast. Many years of experience in providing diagnostic imaging services to the Healthcare Industry. Latest Digital Technology Providing experienced AART Registered Technologists Customized solutions for each Healthcare Partner ASC PARTNERSHIP PROGRAM - PAGE 2

3 OUR MISSION To provide a customized, efficient and cost effective solution to reduce operating costs, increase patient volume and improve patient care by enhancing the on-site imaging and fluoroscopic capabilities of our healthcare partners. Building close relationships with our surgery centers and physicians is a key element of our success. Our medical partners know they can rely on us to provide excellent quality and continuous and dependable service. - EXCELENT DEPENDABLE SERVICE - ASC PARTNERSHIP PROGRAM - PAGE 3

4 OUR SERVICES JHL Imaging Services offers our medical partners a new way to think about diagnostic imaging. JHL Imaging Services provides a Strategic Partnership Program that combines the latest state-of-the-art diagnostic imaging technology with an experienced registered technologist in a unique custom program solution for each of JHL Imaging Services healthcare providers. JHL Imaging Services offers unique cost effective business solutions in an extremely challenging and changing healthcare marketplace. Partnering with JHL Imaging Services allows each Healthcare Partner to reach their full business potential in multiple areas of their practice by: ASC PARTNERSHIP PROGRAM - PAGE 4

5 OUR SERVICES CONTINTUED 1... Use of State of the Art C-Arm s with Digital Technology Our Technology Team will consult with the Ambulatory Surgery Center to select and provide the most appropriate model of Fluoroscopic equipment for their specific needs. Most of our C-Arm s have USB ports for downloading images as well as DSA Digital Subtraction Angiography. Increase quality of patient care, improve patient efficiency, and provide solid base for patient growth. Outsourcing of patient services has been a commonplace occurrence as surgical centers continue to seek methods to minimize operating cost in an environment of reduced patient services reimbursement. The labor costs and associated capital expenditures are effectively eliminated through JHL s Strategic Partnership Program with no interference or disruption to the surgery center s or the physician s professional charges for their services. ASC PARTNERSHIP PROGRAM - PAGE 5

6 OUR SERVICES CONTINTUED 2... Increased Revenue and Reduced Costs As a JHL Imaging Services Strategic Partner the ASC will experience an improved business cost structure by : Not having to employ a Registered Technologist (RT) JHL Imaging Services can facilitate the absorption * of current on staff RT s. This allows the facility to maintain the services of a qualified RT who already understands the needs of the facility. The facility will save on staffing and benefits costs associated with having to employee the RT. * State and Federal Laws apply Not having a capital expense or other financing to acquire C-Arm Not having annual equipment maintenance costs or contracts Lower administrative costs ASC PARTNERSHIP PROGRAM - PAGE 6

7 OUR SERVICES CONTINTUED 3... COMPELLING ECONOMICS - INSURANCE BILLING Under current CMS regulations an ASC cannot bill for separate Radiology Diagnostic Imaging tests they perform during the ASC's scheduled hours of operation (see 42 CFR Section 416). If a company such as JHL Imaging provides the Radiological Diagnostic Imaging with equipment owned by JHL and provides the technician they can bill separately for their services. This will have absolutely no effect on the ASC s reimbursement for their services rendered. ASC PARTNERSHIP PROGRAM - PAGE 7

8 OUR SERVICES CONTINTUED 4... JHL will bill the patient s medical insurance carrier directly for the fluoroscopy portion of the procedures, so there is no cost to the surgery center for our services. Our billing does not affect either the physicians professional fee or the ASC facility fee. Currently, ASC s are reimbursed little or nothing for fluoroscopy, due to bundling of procedures codes, as well as global fees which do not include a separate fee for fluoroscopy. As an independent x-ray provider, JHL Imaging Services is able to bill and receive reimbursement for fluoroscopy services. Although we do not balance bill patients, we reserve the right to bill the patient for any deductible or co-payment. JHL accepts most insurance plans, workers compensation, Medicare and Medicaid. However, we do not participate with all insurance carriers. A claim will be filed on the patient s behalf. JHL accepts all insurance reimbursements as an in network provider. ASC PARTNERSHIP PROGRAM - PAGE 8

9 STRATEGIC ADVANTAGES TO PARTNERING WITH JHL IMAGING SERVICES JHL Imaging Services provides turnkey fluoroscopic x-ray services to Ambulatory Surgery Centers as well as Pain Management Centers and physicians offices. Because JHL Imaging Services is a Mobile IDTF we specifically provide and concentrate on mobile surgical imaging solutions. JHL Imaging Services offers consulting services in order to assist facilities looking to better service their fluoroscopic needs. These consulting services address not only the technical applications of the fluoroscopic equipment, but also focus on the clinical applications of the procedures which utilize fluoroscopy. JHL s consultations allow facilities to appropriately identify whether or not a contracted fluoroscopic service could better service their needs. Our technologist and clinical application specialists have extensive experience in the fluoroscopic arena and are able to effectively demonstrate the mechanisms pertaining to the technical as well as clinical applications. ASC PARTNERSHIP PROGRAM - PAGE 9

10 STRATEGIC ADVANTAGES TO PARTNERING WITH JHL IMAGING SERVICES JHL provides their services at little or no cost to the Ambulatory Surgery Center. JHL will provide on going training and technical support for the equipment. This will ensure that the ASC personnel as well as JHL s Registered Technologist are kept up-to-date of the ever-changing diagnostic imaging industry. ASC PARTNERSHIP PROGRAM - PAGE 10

11 STRATEGIC ADVANTAGES TO PARTNERING WITH JHL IMAGING SERVICES Compliance - JHL s radiation safety program provides a comprehensive CMS compliance system that satisfies all Medicare requirements with section Our program provides the following: A Radiology Program supervised by our qualified Interventional Radiologist in accordance with section (c) (1) Supervised standards for patient safety and personnel safety in accordance with section (b) Supervised exposure monitoring in accordance with section (b) (2) Supervised inspection of equipment in accordance with section (c) (1) Radiation Safety education for staff CMS required signage Provides Scheduled Preventative Maintenance of C-Arms Maintenance of all necessary documentation ASC PARTNERSHIP PROGRAM - PAGE 11

12 - SUMMARY - IT S A WIN/WIN! By offering a much needed and valuable service essentially free of charge to a surgery center and by billing the patients insurance plan directly, we create an unbeatable win/win partnership solution for improved patient care and affordable cost. This proposed partnership arrangement is mutually beneficial for the Ambulatory Surgery Center and JHL Imaging Services. ASC PARTNERSHIP PROGRAM - PAGE 12

13 CONTACT INFORMATION JHL IMAGING SERVICES, LLC ATLANTA, GA PHONE: (954) ASC PARTNERSHIP PROGRAM - PAGE 13

IWCC 50 ILLINOIS ADMINISTRATIVE CODE 7110 7110.90. Section 7110.90 Illinois Workers' Compensation Commission Medical Fee Schedule

IWCC 50 ILLINOIS ADMINISTRATIVE CODE 7110 7110.90. Section 7110.90 Illinois Workers' Compensation Commission Medical Fee Schedule Section 7110.90 Illinois Workers' Compensation Commission Medical Fee Schedule a) In accordance with Sections 8(a), 8.2 and 16 of the Workers' Compensation Act [820 ILCS 305/8(a), 8.2 and 16] (the Act),

More information

2015 Career Information Guide

2015 Career Information Guide 2015 Career Information Guide Campuses in Atlanta, Orlando and Palm Beach A Career in Healthcare Starts Here Quality Education. Fulfilling Careers. At Cambridge, we re focused on helping our students prepare

More information

Florida Medicaid. Anesthesia Services Coverage Policy. Agency for Health Care Administration. Draft Rule

Florida Medicaid. Anesthesia Services Coverage Policy. Agency for Health Care Administration. Draft Rule Florida Medicaid Agency for Health Care Administration Draft Rule Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions... 1 2.0 Eligible Recipient... 2

More information

Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and. Becky Ziegler-Otis

Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and. Becky Ziegler-Otis 1 Presented by Caryl A. Serbin President and Founder Serbin Surgery Center Billing, LLC and Becky Ziegler-Otis Administrator Ambulatory Surgical Center of Stevens Point 2 ASC STEVENS POINT Days in A/R

More information

Frequently Asked Questions: The following regulations are provided to answer some of the many questions that are asked of this office.

Frequently Asked Questions: The following regulations are provided to answer some of the many questions that are asked of this office. Steven L. Beshear Governor CABINET FOR HEALTH AND FAMILY SERVICES DEPARTMENT FOR PUBLIC HEALTH Division of Public Health Protection and Safety Radiation Health Branch 275 East Main Street, HS 1C-A Frankfort,

More information

How To Become An Xray Technician

How To Become An Xray Technician MICHIGAN CIVIL SERVICE COMMISSION JOB SPECIFICATION X-RAY TECHNICIAN JOB DESCRIPTION Employees in this job function as radiological technologists with responsibility for operating X-ray and fluoroscopic

More information

Zimmer Payer Coverage Approval Process Guide

Zimmer Payer Coverage Approval Process Guide Zimmer Payer Coverage Approval Process Guide Market Access You ve Got Questions. We ve Got Answers. INSURANCE VERIFICATION PROCESS ELIGIBILITY AND BENEFITS VERIFICATION Understanding and verifying a patient

More information

Florida Medicaid. Anesthesia Services Coverage Policy. Agency for Health Care Administration. Draft Rule

Florida Medicaid. Anesthesia Services Coverage Policy. Agency for Health Care Administration. Draft Rule Florida Medicaid Agency for Health Care Administration Draft Rule Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions.... 1 2.0 Eligible Recipient... 2

More information

CERTIFICATE OF NEED REVIEWED BY THE DEPARTMENT OF HEALTH DIVISION OF POLICY, PLANNING AND ASSESSMENT 615-741-1954 DATE: December 31, 2015 APPLICANT: Reeves Eye Surgery Center 2328 Knob Creek Road, Suite

More information

Eliminate capital expenditures and costly repairs and reduce staffing costs through outsourcing

Eliminate capital expenditures and costly repairs and reduce staffing costs through outsourcing Eliminate capital expenditures and costly repairs and reduce staffing costs through outsourcing FROM OWNING TO OUTSOURCING The ability to offer cost-effective healthcare becomes increasingly challenging,

More information

Ambulatory Surgery Center: CMS Regulations and Survey Findings

Ambulatory Surgery Center: CMS Regulations and Survey Findings Ambulatory Surgery Center: CMS Regulations and Survey Findings Sue Reuss, RN Minnesota Department of Health Ambulatory Surgery Center (ASC) Key Characteristics - distinct entity - exclusively operates

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Top 10 Reasons to Outsource Your Medical Billing

Top 10 Reasons to Outsource Your Medical Billing Top 10 Reasons to Outsource Your Medical Billing What is outsourcing? Subcontracting, Support Managed services However you define it, outsourcing has become the hot, creative solution that is helping more

More information

16 States With RN Supervision Language as it relates to Surgical Techs working in Hospitals Last Update 1/24/2013

16 States With RN Supervision Language as it relates to Surgical Techs working in Hospitals Last Update 1/24/2013 16 States With Language as it relates to Surgical Techs working in Hospitals Last Update 1/24/2013 STATE CITATION STATUTORY LANGUAGE SUPERVISION OF ST LANGUAGE Alabama 420-5-7-.17 Surgical Services. Under

More information

QUALITY ASSURANCE PROGRAMS FOR DIAGNOSTIC RADIOLOGY FACILITIES. (a) Applicability. (b) Definitions

QUALITY ASSURANCE PROGRAMS FOR DIAGNOSTIC RADIOLOGY FACILITIES. (a) Applicability. (b) Definitions QUALITY ASSURANCE PROGRAMS FOR DIAGNOSTIC RADIOLOGY FACILITIES (a) Applicability Quality assurance programs as described in paragraph (c) of this section are recommended for all diagnostic radiology facilities.

More information

Mississippi Medicaid. Provider Reference Guide. For Part 220. Radiology Services

Mississippi Medicaid. Provider Reference Guide. For Part 220. Radiology Services Mississippi Medicaid Provider Reference Guide For Part 220 Radiology Services This is a companion document to the Mississippi Administrative Code Title 23 and must be utilized as a reference only. Table

More information

Bronze CoventryOne Health Plan options in Georgia

Bronze CoventryOne Health Plan options in Georgia Bronze CoventryOne Health Plan options in Georgia Plan GA Coventry Bronze Ded Only HSA Eligible HMO Member benefits Deductible (ded) individual/family1 (applies to out-of-pocket maximum) Member coinsurance

More information

FLORIDA WORKERS' COMPENSATION REIMBURSEMENT MANUAL FOR HOSPITALS 2004 EDITION. Rule 69L-7.501, Florida Administrative Code

FLORIDA WORKERS' COMPENSATION REIMBURSEMENT MANUAL FOR HOSPITALS 2004 EDITION. Rule 69L-7.501, Florida Administrative Code FLORIDA WORKERS' COMPENSATION REIMBURSEMENT MANUAL FOR HOSPITALS 2004 EDITION Rule 69L-7.501, Florida Administrative Code Effective January 1, 2004 1 TABLE OF CONTENTS Title Page Section 1: Managed Care

More information

Professional/Technical Component Policy

Professional/Technical Component Policy Policy Number 2015R0012C Professional/Technical Component Policy Annual Approval Date 1/27/2014 Approved By Payment Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible

More information

Split Billing Overview

Split Billing Overview Split Billing Overview June 2, 2008 Doug McGregor Partner, Healthcare Services Feeley & Driscoll, P.C. (617) 742-7788 DougM@fdcpa.com Definitions Split Billing reimbursement A structure under which two

More information

Medicare s New Enrollment Procedures for IDTFs

Medicare s New Enrollment Procedures for IDTFs Medicare s New Enrollment Procedures for IDTFs Beginning October 1, 2001, the Centers for Medicare & Medicaid Services ( CMS ) will have implemented major revisions to its Form 855 enrollment materials

More information

Radiologic Health Department Certification. Presented by Natalie Beechler Health Physicist Brea X-Ray Inspection, Compliance, and Enforcement Unit

Radiologic Health Department Certification. Presented by Natalie Beechler Health Physicist Brea X-Ray Inspection, Compliance, and Enforcement Unit Radiologic Health Department Certification Presented by Natalie Beechler Health Physicist Brea X-Ray Inspection, Compliance, and Enforcement Unit Where do our paths cross? In order to ensure properly educated

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Advantage (HMO) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna-HealthSpring Advantage (HMO). Next year, there will be

More information

Understanding Your Medical Bill

Understanding Your Medical Bill Understanding Your Medical Bill THANK YOU for choosing University of Maryland Medical Center (UMMC) as your healthcare provider. We are committed to providing excellence in the delivery of healthcare.

More information

Diagnostic Imaging Management

Diagnostic Imaging Management Diagnostic Imaging Management Frequently Asked Questions (FAQ) from Providers Updated August 1, 2013 Program Overview Q1. What is AIM Specialty Health SM (AIM)? A1. AIM Specialty Health SM (AIM) is a leading

More information

October 3, 2005. RE: Appropriate use of CPT 76003 and 76005. Dear Ms. Kotowicz:

October 3, 2005. RE: Appropriate use of CPT 76003 and 76005. Dear Ms. Kotowicz: October 3, 2005 Grace M. Kotowicz, Director CPT Editorial Research and Development American Medical Association 515 North State Street Chicago, IL 60610 RE: Appropriate use of CPT 76003 and 76005 Dear

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Preferred (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred (HMO). Next year, there will be

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

ALASKA. Downloaded January 2011

ALASKA. Downloaded January 2011 ALASKA Downloaded January 2011 7 AAC 12.255. SERVICES REQUIRED A nursing facility must provide nursing, pharmaceutical, either physical or occupational therapy, social work services, therapeutic recreational

More information

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions The Economics of Outsourcing Billing, Collections, and Contracting Tom Chirillo President & CEO HealthCare Business Solutions Goals of Today s Presentation Establish how important Billing, Collections,

More information

Inpatient or Outpatient Only: Why Observation Has Lost Its Status

Inpatient or Outpatient Only: Why Observation Has Lost Its Status Inpatient or Outpatient Only: Why Observation Has Lost Its Status W h i t e p a p e r Proper patient status classification affects the clinical and financial success of hospitals. Unfortunately, assigning

More information

Title 8, California Code of Regulations, 9789.30 et seq.

Title 8, California Code of Regulations, 9789.30 et seq. Title 8, California Code of Regulations Chapter 4.5, Division of Workers Compensation Subchapter 1 Administrative Director-Administrative Rules Article 5.3 Official Medical Fee Schedule-Hospital Outpatient

More information

Medicare- Tennessee Overview

Medicare- Tennessee Overview Medicare- Tennessee Overview Medicare is a government-administered program providing health insurance to 43 million Americans. The Centers for Medicare and Medicaid Services (CMS) implements laws and establishes

More information

EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011)

EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011) EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011) 06 Payment disallowed: location of service(s) is not consistent with the level of service(s)

More information

How Do I Ask Questions During this Training? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com.

How Do I Ask Questions During this Training? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com. How Do I Ask Questions During this Training? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com. 2 Training Objectives Describe new information contained in

More information

Over the last few months, several regulatory developments

Over the last few months, several regulatory developments dorsey HEALTH STRATEGIES A Consulting Firm Affiliated with Dorsey & Whitney LLP DISCOVERY Market Solutions for the Health Care Industry The Real Deals in Health Care By Forrest G. Burke and Claire H. Topp

More information

US Reimbursement Guide

US Reimbursement Guide US Reimbursement Guide The information with this notice is general reimbursement information only. It is not legal advice, nor is it about how to code, complete or submit any particular claim for payment.

More information

Update to Second-Quarter Procedure Code Review Updates

Update to Second-Quarter Procedure Code Review Updates Update to Second-Quarter Procedure Review Updates Information posted September 11, 2009 This is an update to an article posted on this website on the TMHP Updates Procedure Review web page on May 15, 2009,

More information

8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1 NMAC - N, 11-1-14]

8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1 NMAC - N, 11-1-14] TITLE 8 SOCIAL SERVICES CHAPTER 310 HEALTH CARE PROFESSIONAL SERVICES PART 12 INDIAN HEALTH SERVICE AND TRIBAL 638 FACILITIES 8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1

More information

Accreditation History

Accreditation History Key Issues in HFAP Beverly Robins, RN, BSN, MBA Director of October 26, 2012 1 History Began in 1945 American Osteopathic Association Accrediting Hospitals and Other Health Care Facilities for Over 65

More information

CHAPTER 50-03-04 FLUOROSCOPY TECHNOLOGISTS

CHAPTER 50-03-04 FLUOROSCOPY TECHNOLOGISTS CHAPTER 50-03-04 FLUOROSCOPY TECHNOLOGISTS Section 50-03-04-01 Definitions 50-03-04-02 Permit Required 50-03-04-03 Initial Requirements for Permit 50-03-04-04 Annual Permit Renewal 50-03-04-05 Fees 50-03-04-06

More information

Glossary. Adults: Individuals ages 19 through 64. Allowed amounts: See prices paid. Allowed costs: See prices paid.

Glossary. Adults: Individuals ages 19 through 64. Allowed amounts: See prices paid. Allowed costs: See prices paid. Glossary Acute inpatient: A subservice category of the inpatient facility clams that have excluded skilled nursing facilities (SNF), hospice, and ungroupable claims. This subcategory was previously known

More information

Highlights of the Florida Medicaid Ambulatory Surgical Center Services Coverage and Limitations Handbook

Highlights of the Florida Medicaid Ambulatory Surgical Center Services Coverage and Limitations Handbook Highlights of the Florida Medicaid Ambulatory Surgical Center Services Coverage and Limitations Handbook Agency for Health Care Administration July 2013 1 Learning Objectives Provide an overview of the

More information

professional billing module

professional billing module professional billing module Professional CMS-1500 Billing Module Coding Requirements...2 Evaluation and Management Services...2 Diagnosis...2 Procedures...2 Basic Rules...3 Before You Begin...3 Modifiers...3

More information

BACK TO BASICS FOR YOUR ASC

BACK TO BASICS FOR YOUR ASC BACK TO BASICS FOR YOUR ASC Billing and Reimbursement for Physician Offices, Ambulatory Surgery Billings & Reimbursements In recent years, Ambulatory Surgical Centers have become one of the most regulated

More information

The Field. Radiologic technologists take x-rays and administer nonradioactive materials into patients' bloodstreams for diagnostic purposes.

The Field. Radiologic technologists take x-rays and administer nonradioactive materials into patients' bloodstreams for diagnostic purposes. Radiologic Technologist Overview The Field - Specialty Areas - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Radiologic technologists

More information

A Consumer Guide to Understanding Health Plan Networks

A Consumer Guide to Understanding Health Plan Networks A Consumer Guide to Understanding Health Plan Networks Table of Contents steps you can take to understand your health plan s provider network pg 4 What a provider network is pg 8 Many people are now shopping

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Ambulatory Surgical Centers Frequently Asked Questions

Ambulatory Surgical Centers Frequently Asked Questions Ambulatory Surgical Centers Frequently Asked Questions Index Top General Definitions Compliance with State Licensure Laws Governing Body and Management Surgical Services Quality Assessment and Performance

More information

Inpatient Hospital (21) Office (11) Home (12) June 4, 2014

Inpatient Hospital (21) Office (11) Home (12) June 4, 2014 Inpatient Hospital (21) Home (12) Office (11) 1 June 4, 2014 Today s event is a teleconference Slides will not be advanced during the presentation Attendees are instructed to refer to their handout material

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Preferred (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred (HMO). Next year, there will be

More information

Facility Name: Street Address: City: County: State: Zip: Web Site Address: Office Manager Name: Phone and Ext: Email:

Facility Name: Street Address: City: County: State: Zip: Web Site Address: Office Manager Name: Phone and Ext: Email: FACILITY CREDENTIALING APPLICATION USI.V5.2009.02 FACILITY INFORMATION Please complete a separate application for each facility. Facility Name: Street Address: City: County: State: Zip: Phone: Fax: Federal

More information

When it Comes to ICD-10, Preparation is Everything

When it Comes to ICD-10, Preparation is Everything When it Comes to ICD-10, Preparation is Everything Addressing ICD-10 s negative revenue impacts before they happen Steven R. Gerst, MD, MBA, MPH, CHE Jvion Senior Medical Advisor Atlanta, GA Darien, CT

More information

MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT

MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT FORM APPROVED OMB NO. 0938-0373 Name(s) and Address of Participant*

More information

CODE AUDITING RULES. SAMPLE Medical Policy Rationale

CODE AUDITING RULES. SAMPLE Medical Policy Rationale CODE AUDITING RULES As part of Coventry Health Care of Missouri, Inc s commitment to improve business processes, we are implemented a new payment policy program that applies to claims processed on August

More information

University of Mississippi Medical Center. Access Management. Patient Access Specialists II

University of Mississippi Medical Center. Access Management. Patient Access Specialists II Financial Terminology in Access Management University of Mississippi Medical Center Access Management Patient Access Specialists II As a Patient Access Specialist You are the FIRST STAGE in the Revenue

More information

Empire BlueCross BlueShield Professional Reimbursement Policy

Empire BlueCross BlueShield Professional Reimbursement Policy Subject: Modifier Rules NY Policy: 0017 Effective: 02/01/2014 06/30/2014 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria

More information

Routine Venipuncture and/or Collection of Specimens

Routine Venipuncture and/or Collection of Specimens Manual: Policy Title: Reimbursement Policy Routine Venipuncture and/or Collection of Specimens Section: Laboratory & Pathology Subsection: None Date of Origin: 1/1/2000 Policy Number: RPM012 Last Updated:

More information

portable x-ray survey report

portable x-ray survey report department of HealtH and Human services centers for medicare & medicaid services form approved omb no. 0938-0027 portable x-ray survey report provider number H1 date surveyed (1) initial (2) survey W H2

More information

Insurance Terms 101. Patient Access Specialists I

Insurance Terms 101. Patient Access Specialists I Access Management Insurance Terms 101 University of Mississippi Medical Center Patient Access Specialists I As a Patient Access Specialist Your job is to collect ACCURATE patient information during registration.

More information

UNDERSTANDING YOUR MEDICAL BILL. Thank you for choosing Your Personal Physicians at:

UNDERSTANDING YOUR MEDICAL BILL. Thank you for choosing Your Personal Physicians at: UNDERSTANDING YOUR MEDICAL BILL Thank you for choosing Your Personal Physicians at: Mercy Medical Center Lutherville Overlea Worthington/Reisterstown Glen Burnie Canton as your healthcare provider. We

More information

HEALTH SAVINGS ACCOUNTS FOR BEGINNERS

HEALTH SAVINGS ACCOUNTS FOR BEGINNERS HEALTH SAVINGS ACCOUNTS FOR BEGINNERS HEATHER MENZIES Employee Benefits Account Executive SET SEG DISCLAIMER The content in this presentation is informational. Each employee should review the benefit summary

More information

DATE NAME: DOB: / / AGE: EMAIL ADDRESS: CELL PHONE NUMBER/BEST CONTACT NUMBER: REFERRING PHYSICIAN: EMERGENCY CONTACT NAME, PHONE NUMBER

DATE NAME: DOB: / / AGE: EMAIL ADDRESS: CELL PHONE NUMBER/BEST CONTACT NUMBER: REFERRING PHYSICIAN: EMERGENCY CONTACT NAME, PHONE NUMBER Mammosafe 5300 North Braeswood Boulevard Suite 4-400 Houston, Texas 77096 832.975.7824 BREAST HISTORY FORM DATE NAME: DOB: / / AGE: EMAIL ADDRESS: CELL PHONE NUMBER/BEST CONTACT NUMBER: REFERRING PHYSICIAN:

More information

Healthcare Organization Taps Local Partner For All Things I.T.

Healthcare Organization Taps Local Partner For All Things I.T. Healthcare Organization Taps Local Partner For All Things I.T. Summary Radiologist Interpretations require the best technology to deliver the best care possible. For Radiology Associates of Macon, technology

More information

Management Report Services. Staff Training and Education Services

Management Report Services. Staff Training and Education Services Management Report Services Your management team will receive reports that are clear, well defined and serve as a tool for increased performance. These include a brief description emphasizing how the information

More information

Government Programs Policy No. GP - 6 Title:

Government Programs Policy No. GP - 6 Title: I. SCOPE: Government Programs Policy No. GP - 6 Page: 1 of 12 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2) any other

More information

Current Issues and Trends in Medical Malpractice

Current Issues and Trends in Medical Malpractice Current Issues and Trends in Medical Malpractice Casualty Loss Reserve Seminar September 20, 2010 Chris Coleianne Aon Global Risk Consulting Columbia, Maryland Current Issues and Trends in Medical Malpractice

More information

White Paper. Healthcare Business 101 Adapt or Die

White Paper. Healthcare Business 101 Adapt or Die White Paper Healthcare Business 101 Adapt or Die A number of radiology practices will not survive the next five years. That s the conclusion of many industry experts, after analyzing current trends and

More information

10 Steps to Meaningful Use

10 Steps to Meaningful Use Is your practice ready for an EHR? T he National Center for Primary Care (NCPC) at the Morehouse School of Medicine in Atlanta was awarded an American Recovery and Reinvestment Act grant to oversee the

More information

Applying Modifiers. Applying Modifiers

Applying Modifiers. Applying Modifiers $traight Talk XXII November 11, 2013 Sandy Steele, CPC, CPMA, CEDC, CAC What is a Modifier? A modifier added to a CPT code will help provide additional information on the claim. A modifier can help answer

More information

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing Services

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing Services Department of Veterans Affairs Federal Supply Service Authorized Federal Supply Schedule Price List Effective Date: 4/10/12 Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing

More information

Prospective Attribution as a Single-Step Assignment Process

Prospective Attribution as a Single-Step Assignment Process Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461 P P.O. Box 8013 Baltimore, MD 21244 8013 Dear Administrator Tavenner:

More information

What s fair? Fair healthcare pricing from Healthcare Blue Book

What s fair? Fair healthcare pricing from Healthcare Blue Book What s fair? Fair healthcare pricing from Healthcare Blue Book Healthcare Blue Book is a free consumer guide to help you determine fair prices in your area healthcare services Lap-Band (CPT code 43770)

More information

Central Venous Lines, PICCs, Ports and Pumps

Central Venous Lines, PICCs, Ports and Pumps Central Venous Lines, PICCs, Ports and Pumps 2012 CODING AND REIMBURSEMENT GUIDE Placement of a non-tunneled or tunneled device requires that the site of entry, type of device, age of patient and tunneling

More information

UNRAVELING THE MYSTERIES OF SPLIT

UNRAVELING THE MYSTERIES OF SPLIT UNRAVELING THE MYSTERIES OF SPLIT BILLING FOR HOSPITAL-BASED DEPARTMENTS AND CLINICS AUGUST 23, 2012 JEAN RUSSELL, MS, RHIT 518-369-4986 JRUSSELL@EPOCHHEALTH.COM AGENDA Based on Medicare and NY Medicaid

More information

Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States

Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States Comparison of the Prospective Payment System Methodologies Currently Utilized in the United States 1 Can you speak the jargon of Prospective Payment Systems? MS- DRGs APCs IPF-PPS RBRVS HHRGs RUGs MS-LTC

More information

Frequently Asked Billing Questions

Frequently Asked Billing Questions Frequently Asked Billing Questions How will I be billed? Mayo Clinic Health System will send you a billing statement with your charges. Provider charges for clinic and hospital services will be billed

More information

INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING OVERVIEW. October 2014

INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING OVERVIEW. October 2014 INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING OVERVIEW October 2014 IONM OVERVIEW Intraoperative Neurophysiological Monitoring ( IONM ) protects patients during surgery by providing critical neurophysiological

More information

MEDICARE LOW VISION REHABILITATION DEMONSTRATION. Contact: James Coan, Project Officer visiondemo@cms.hhs.gov

MEDICARE LOW VISION REHABILITATION DEMONSTRATION. Contact: James Coan, Project Officer visiondemo@cms.hhs.gov MEDICARE LOW VISION REHABILITATION DEMONSTRATION Contact: James Coan, Project Officer visiondemo@cms.hhs.gov LOW VISION REHABILITATION DEMONSTRATION The purpose of this presentation is to provide some

More information

Network PlatinumPlusMedicare Supplement Plans - Changes to Medicare Coverage in 2016

Network PlatinumPlusMedicare Supplement Plans - Changes to Medicare Coverage in 2016 Network PlatinumPlus (PPO) offered by Network Health Insurance Corporation Annual Notice of Changes for 2016 You are currently enrolled as a member of Network PlatinumPlus. Next year, there will be some

More information

Teachers Retirement Insurance Program

Teachers Retirement Insurance Program Comparison of Illinois State Retiree Health Insurance Options with Traditional Medicare and Medicare Supplement (Medigap) Insurance Teachers Retirement Insurance Program Insuraprise, Inc. (C) Copyright

More information

Frequently Asked Questions Related to Change Request 7631 (Revised and Clarified Place of Service Coding Instructions)

Frequently Asked Questions Related to Change Request 7631 (Revised and Clarified Place of Service Coding Instructions) Frequently Asked Questions Related to Change Request 7631 (Revised and Clarified Place of Service Coding Instructions) Change Request (CR) 7631 (Transmittal 2679) entitled Revised and Clarified Place of

More information

CMS PROPOSED STARK REGULATIONS MATERIALLY IMPACT HOSPITAL-PHYSICIAN JOINT VENTURES AND VARIOUS OTHER PHYSICIAN ARRANGEMENTS

CMS PROPOSED STARK REGULATIONS MATERIALLY IMPACT HOSPITAL-PHYSICIAN JOINT VENTURES AND VARIOUS OTHER PHYSICIAN ARRANGEMENTS CMS PROPOSED STARK REGULATIONS MATERIALLY IMPACT HOSPITAL-PHYSICIAN JOINT VENTURES AND VARIOUS OTHER PHYSICIAN ARRANGEMENTS Health care providers beware: Many commonplace hospital and physician arrangements

More information

MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS

MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS Department of Health and Human Services OFFICE OF INSPECTOR GENERAL MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS Daniel R. Levinson Inspector General April 2011 OEI-07-09-00450

More information

Introduction to Perioperative Nursing

Introduction to Perioperative Nursing Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION C H A P T E R 1 Introduction to Perioperative Nursing Learner Objectives 1. Define the three phases of the surgical experience. 2. Describe

More information

X-ray (Radiography), Chest

X-ray (Radiography), Chest X-ray (Radiography), Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray makes images of the heart, lungs, airways,

More information

Hospital Billing & Coding Certification Certified Professional Coder-Hospital Outpatient (CPC-H)

Hospital Billing & Coding Certification Certified Professional Coder-Hospital Outpatient (CPC-H) Academy of Medical Professions, Inc. Brunswick Business Center 18 Pleasant Street, Suite 210; Brunswick, ME 04011 www.academyofmedicalprofessions.com 1-866-516-8274. 207-721-0714. 207-449-1242 (fax) info@academyofmedicalprofessions.com

More information

Gastroenterology, Ophthalmology (and Retina) and ENT, Pain Management and Bariatrics in ASCs. What Works and What Doesn t? Tips For Improving Profits

Gastroenterology, Ophthalmology (and Retina) and ENT, Pain Management and Bariatrics in ASCs. What Works and What Doesn t? Tips For Improving Profits Gastroenterology, Ophthalmology (and Retina) and ENT, Pain Management and Bariatrics in ASCs What Works and What Doesn t? Tips For Improving Profits Anne Roberts, RN Administrator, Surgery Center of Reno,

More information

John Howard, M.D., Administrator World Trade Center Health Program. February 1, 2014

John Howard, M.D., Administrator World Trade Center Health Program. February 1, 2014 Policy and Procedures for Coordination of Benefits for Treatment Costs for Non- Work-Related, Certified WTC-Related Health Conditions: Coordination with Health Insurance John Howard, M.D., Administrator

More information

U.S. Bureau of Labor Statistics. Radiology Tech

U.S. Bureau of Labor Statistics. Radiology Tech From the: U.S. Bureau of Labor Statistics Radiology Tech What They Do Radiologic technologists (RTs) perform diagnostic imaging examinations, such as x rays, on patients. Duties RTs typically do the following:

More information

956 CMR: COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY 956 CMR 5.00: MINIMUM CREDITABLE COVERAGE

956 CMR: COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY 956 CMR 5.00: MINIMUM CREDITABLE COVERAGE 956 CMR 5.00: MINIMUM CREDITABLE COVERAGE Section 5.01: General Provisions 5.02: Definitions 5.03: Minimum Creditable Coverage 5.04: Administrative Bulletins 5.05: Severability 5.01: General Provisions

More information

istent Trabecular Micro-Bypass Stent Reimbursement Guide

istent Trabecular Micro-Bypass Stent Reimbursement Guide istent Trabecular Micro-Bypass Stent Reimbursement Guide Table of Contents Overview Coding 2 3 Coding Overview Procedure Coding Device Coding Additional Coding Information Coverage Payment 8 9 Payment

More information

SECTION 5 HOSPITAL SERVICES. Free-Standing Ambulatory Surgical Center

SECTION 5 HOSPITAL SERVICES. Free-Standing Ambulatory Surgical Center SECTION 5 HOSPITAL SERVICES Table of Contents 1 GENERAL POLICY... 2 1-1 Clients Enrolled in a Managed Care Plan... 3 1-2 Clients NOT Enrolled in a Managed Care Plan (Fee-for-Service Clients)..................

More information

Bayfront. Heart Center. www.bayfrontheart.org

Bayfront. Heart Center. www.bayfrontheart.org Bayfront Heart Center www.bayfrontheart.org THE HEART OF THE MATTER At the Bayfront Heart Center, the leading cardiac facility in the area, we are fully equipped to treat all aspects of cardiovascular

More information

June 10, 2013. Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850

June 10, 2013. Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850 June 10, 2013 Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850 Subject: (CMS-1454-P; 78 FR 2 1308) Medicare Program; Physicians'

More information

RADIOLOGIC TECHNOLOGY OCCUPATIONS In Local Areas of the Inland Empire

RADIOLOGIC TECHNOLOGY OCCUPATIONS In Local Areas of the Inland Empire LABOR MARKET REPORT RADIOLOGIC TECHNOLOGY OCCUPATIONS In Local Areas of the Inland Empire High Desert Low Desert East Valley APRIL 2011 For more information contact: Center of Excellence Inland Empire

More information

istent Trabecular Micro-Bypass Stent Reimbursement Guide

istent Trabecular Micro-Bypass Stent Reimbursement Guide istent Trabecular Micro-Bypass Stent Reimbursement Guide Table of Contents Overview Coding 3 4 Coding Overview Procedure Coding Device Coding Additional Coding Information Coverage Payment 10 11 Payment

More information

QUESTIONS AND ANSWERS LIMITED-SCOPE X-RAY OPERATORS Rules and Regulations Pertaining to Radiation Control (6CCR 1007-1)

QUESTIONS AND ANSWERS LIMITED-SCOPE X-RAY OPERATORS Rules and Regulations Pertaining to Radiation Control (6CCR 1007-1) QUESTIONS AND ANSWERS LIMITED-SCOPE X-RAY OPERATORS Rules and Regulations Pertaining to Radiation Control (6CCR 1007-1) QUESTION1: Does the CDPHE require any paperwork for individuals who are already limited-scope

More information

Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols

Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols 200 Old Country Road, Suite 470 Mineola, NY 11501 Phone: 516-294-4118 Fax: 516-294-9268 www.businessdynamicslimited.com

More information

Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures

Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures Table 1: Surgeon Billing for Laparoscopic Adjustable Gastric Band Procedures 2012 Medicare Payment 2 43770

More information