News and Updates from Private Payers
 
Second Annual Joint Surgical Advocacy Conference March 22-24, 2009 Washington, DC

Second Annual Joint Surgical Advocacy Conference
March 22-24, 2009
Washington, DC

Registration and housing information coming soon

 

News and Updates from Private Payers

  • United Healthcare (UHC) updates reimbursement policy for audiologic function testing :The Academy has worked diligently with UHC to revise and update the insurer’s reimbursement policy for audiologic/ vestigial function testing. The updated policy reflects current practice by using many of the Academy’s recommendations -adding pertinent ICD 9 CM codes and deleting outdated diagnosis codes. The insurer plans to cover CPT code 92625 (Assessment of Tinnitus) by the second or third quarter of 2008.
  • Change in Reimbursement Guidelines for After- Hour Services from Anthem Blue Cross Blue Shield :Effective June, 5 2008 Anthem Blue Cross Blue Shield will reimburse physicians separately (only in the office setting) for CPT code 99050 (services provided in the office at times other than regular schedules office hours or days when the office is normally closed e.g. holidays, Saturdays or Sundays in addition to basic service). However, for CPT codes 99051 to 99060 the insurer will consider these as integral to the primary service rendered in any place of setting.
  • CIGNA issues new guidelines for Never Events :CIGNA is implementing a policy similar to that of the Centers for Medicare and Medicaid Services (CMS) on avoidable medical errors also known as never events, medical misadventures or hospital acquired conditions. Beginning July 1, 2008 CIGNA will require hospitals to submit their electronic and paper claims with the Present on Admission (POA) indicator.
 

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Copyright 2008. American Academy of Otolaryngology — Head and Neck Surgery

American Academy of Otolaryngology — Head and Neck Surgery

1650 Diagonal Road, Alexandria, VA 22314-2857

Phone: 1-703-836-4444