Coding and Billing Quarterly

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ATS Coding & Billing Quarterly Archive

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The ATS Coding & Billing Quarterly newsletter summarizes key information on coding, billing, documentation and regulation policy changes that are relevant to clinicians in respiratory, critical care and sleep medicine. The quarterly publication, which is shared with ATS members who practice in the U.S., covers issues such as new CPT and ICD-10-CM codes, changing CPT and ICD-10-CM nomenclature and numbering, regulatory policies and Medicare coverage of pulmonary patients.

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2020

  • September 
    • 2021 Proposed Medicare Physician Fee Schedule
    • Changes to E/M Coding
    • New Complex Care Code
    • Public Health Emergency and Telehealth Codes
  • April
    • ICD-10-CM Coding for COVID-19
    • CMS Telemedicine Rules in COVID Public Health Emergency 
    • A Review of Sample Scenarios of Outpatient, Inpatient and ICU Services Under Revised CMS Policy
    • COVID Specific Q&As
  • February
    • 2020 Medicare Physician Fee Schedule Policy
    • 2021 E/M Policies
    • Coding Questions and Answers
    • Table - 2020 CMS Physician Fee Schedule: Selected Pulmonary, Critical Care and Sleep Services
    • Table - 2020 CMS Hospital Outpatient Fee Schedule: Selected Pulmonary, Critical Care and Sleep Services

2019

  • October
    • Medicare Proposed 2020 Hospital Outpatient Prospective Payment Rule
    • Medicare Proposed 2020 Physician Fee Schedule Rule
    • CMS Proposed Principal Care Management (PCM) Services
    • CMS Proposed Rules for E/M Services
    • New ICD-10-CM codes for 2020
    • Critical Care Audits
    • Documentation for Supplemental Oxygen
    • Medicare Local Coverage Policy Determinations

2018

  • December
    • 2019 Medicare Physician Fee Schedule Final Rule
    • 2019 Payment Tables for Pulmonary, Critical and Sleep Services
    • Medicare DME Competitive Bidding Program Final Rule
    • CMS Splits ECMO Into Multiple DRGs
    • Q&A Bronchial Valves
  • July
    • RUC Surveys – why they matter
    • Medical Student Documentation Notes
    • Coding and Billing for Advanced Care Practitioners
    • EBUS – How to Get Paid
    • Questions and Answers –
      • Overnight Pulse Ox
      • E-cigarette ICD-10 coding
  • January
    • 2018 Final Medicare Physician Fee Schedule Rule
    • 2018 Final Medicare Hospital Outpatients Prospective Payment System Rule
    • New and Revised CTP codes for 2018
    • MACRA and 2018
    • New Pulmonary Hypertension ICD-10 Code
    • Questions and Answers

2017

  • October
    • New ICD-10-CM codes for Pulmonary Hypertension
    • CMS proposed Medicare Physician Fee Schedule for 2018
    • CMS proposed Hospital Outpatient Prospective Payment rule for 2018
    • 2018 Proposed Medicare payment rates for common pulmonary, critical care and sleep services
  • January
    • CMS Reimbursement for Moderate Sedation Services
    • MIPS
    • MACRA and Advanced Alternative Payment Models
    • ICD-10-CM Codes for 2017
    • CMS Reimbursement for Pulmonary Rehabilitation
    • Q&As - Moderate Sedation

2016

  • October
    • ATS Requests Revised ICD-10-C M codes for Pulmonary Hypertension
    • 2017 MACRA final rule
    • New Codes for Smoking Cessation
    • EBUS Coding
    • Revised COPD/Bronchodilator Quality Measure
    • Forthcoming RUC survey, Unattended Sleep studies
    • Q&As - Pulmonary Stress Test
  • June
    • CMS proposed MACRA rule
    • Appropriate use of EBUS codes
    • Physician Administered Drugs
    • Q&As - Time values for CPT codes and NPP billing
  • February
    • New Codes (and confusion) on for Medicare Lung Cancer Screening benefit
    • New Advanced Care Planning Codes
    • 2016 Medicare Physician Payment Rule
    • 2016 Medicare Hospital Outpatient Prospective Payment Rule
    • Revised EBUS Code
    • Revised "Incident to Service" rule

2015

  • September
    • CMS proposed Hospital Outpatient Prospective Payment Rule CMS proposed Medicare Physician Fee Schedule Rule
    • ICD-10 Coding for Interstitial Lung Diseases
    • ICD-10 Webinars
    • Q&As on Critical Care time outside the unit and ICD-10 leniency provisions
  • May
    • SGR Repeal Legislation
    • ICD-10 Transition:  Pediatric Pulmonary Codes
    • Medicare Lung Cancer Screening
    • Q&A - Critical Care billing
    • Q&A - Lung Cancer Screening coverage
  • February
    • Low Dose (LDCT) Lung Cancer Screening Coverage – Implications for the Practitioner
    • 2015 Brings New Extracorporeal Membrane Oxygenation (ECMO)/Extracorporeal Life Support )ECLS) Common Procedural Terminology (CPT) Codes