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The Balanced Budget Act of 2018 contains good news for anesthesia practices in 52 localities. The law raises the practice work geographic practice cost index (GPCI) to 1.000 in the 52 localities, which will in turn lift the locality-adjusted conversion factor for anesthesia services, and the increase will be retroactive to Jan. 1.
Poor prep. Gastroenterologists use the term when they can't perform a screening colonoscopy because the patient's lower intestine isn't clean enough. Based on what we're hearing, poor prep describes the efforts of some private payers and Medicare administrative contractors (MACs) to get ready for the new anesthesia codes for gastroendoscopy services (00731, 00732, 00811, 00812 and 00813).

According to an email from WPS GHA, some practices forgot to take a very important step at the start of the year -- and the omission could be costing them money.

Under §1879 of the Social Security Act, LOL is shorthand for limitation on liability of beneficiary where Medicare claims are disallowed. In the handout for her upcoming webinar on the advanced beneficiary notice of noncoverage (ABN), Maxine Lewis, CMM, CPC, CCS-P, president, Medical Coding Management Services, explains how knowing when a patient needs an ABN is less than half the battle.
The new National Correct Coding Initiative (CCI) manual contains an early holiday treat for anyone who wants to know more about bilateral services, medically unlikely edits (MUEs), and how the two interact.

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