Category: Business
Aetna Update August 2022
Effective 11/1/2022
Computer-assisted surgical and musculoskeletal navigation coding update.
Aetna® will no longer consider the following codes for separate reimbursement:
• 20985 (Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure))
• 0054T (Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)). The use of computer-assisted surgical navigation is considered
integral to the performance of the procedure.
Angelina County New Card
We apologize these are not the best pictures, but we wanted to get this out to you, asap.
Some of you have already seen this new card from Angelina County. POET’s contract is with Angelina County not GPA or Imagine 360. POET has reached out to both Angelina County and Imagine 360. Imagine 360 told POET the benefits have not changed. We have asked if your representative will remain the same and are waiting for that response. As information comes in, we will keep you informed. Please let POET know if you are not paid according to contract
What is the Value of Benefits for Staff
Do you know the actual value of benefits offered to your staff?
Maybe you should.
Maybe your staff should.
If you have been looking for a way to calculate the value of benefits offered for your staff, here is an option found on the MGMA Community.
Just click the download button to view the spreadsheet.
The “how to” instructions are below.
It’s basic, but the employees seem to really like it.
1. Use the + to add a tab for each employee.
2. Rename each tab to your employee’s names.
3. Copy and paste the content from the ‘Employee A’ tab to the rest of your employee tabs.
4. Update the DATA INPUT tab with the amount your clinic pays for each employee on a monthly bases (this info will pull into the employee’s individual tabs).
5. In each employee tab, input the amount you pay monthly for Life Insurance (if you provide that benefit) in column B.
6. In each employee tab, modify as needed, the number of days you give for PTO, Holiday & the Retirement % (you’ll need to update both the description and also the formulas in column C).
7. Add or remove benefits as it applies to your clinic and employee.
I hope you find this to be helpful!
Connie McVein, Chief Executive Officer
Oregon Neurology, Springfield OR
It Has to End Sometime. Doesn’t It?
What Will the End of the PHE Mean for Coverage?
The PHE has been extended 8 times since January 31st. We all have I fingers crossed that this is the last time. But there is a lot of uneasiness regarding the “WHAT IFs” of when it does.
To get some great insight check out this article from TMA.ED
PHE Extended
July 15th, Secretary of Health and Human Services, Xavier Becerra renewed the determination that a public health emergency exists. This will add another 90 days, extending the PHE through October 13, 2022
POET has been asked:
Where is the best place to order Approved 1500 Forms (Better known as HCFA of HICF)?
Please leave a comment below. Thank you.
Updates for Your Front Desk
Do you have the latest information at your finger tips?
Just for you!
No Surprise Act:
Share information with your patients to help protect them from surprise billing.
As of January 1, 2022, they have new billing protections under the “No Surprise Act” when they receive:
- Emergency care
- Non-emergency care from out-of-network providers at in-network facilities
- Air ambulance services from out-of-network providers
Just click the links below for printable information.
UHC Policy and Protocol Updates
AMA unveils anticipated E/M changes for facility-based services
The AMA set off its own fireworks during the Independence Day weekend with the early release of new E/M guidelines that will be included in the 2023 CPT manual and take effect Jan. 1, 2023
Recent Comments