The AAO Board of Trustees created the Osteopathic Medical Economics Committee to form as an informational resource for members dealing with difficulties regarding coding reimbursement for OMT. The committee also reviews documents and audiovisual materials pertaining to medical economics issues, which can be used to influence coverage and reimbursement policies of third-party carriers and legislators alike. The committee serves as a resource for members, insurance companies and attorneys who need access to OMM experts for medical opinions, depositions and court testimony.
The American Osteopathic Association has many valuable resources available via the Internet to facilitate appropriate physician reimbursement for uniquely osteopathic services provided to their patients. For example, you can download as .pdf files the following documents:
Accurate coding is a skill learned to maximize reimbursement. Requirements of Current Procedural Terminology (CPT) and the Centers for Medicare and Medicaid Services (CMS) are accepted throughout the United States, but Medicare contractors and insurers may have varying interpretations of some of the requirements.
New patient: a patient who has not received care from you or members of your group in any service location in the past 3 years. Therefore, if an established patient has not received care from you or your group in the past 3 years, patient can be billed as a new patient.
Group Practice: physicians belonging to the same Medicare billing group identification in the same specialty.
Other important information to help with grading your medical decision-making should include: Source of Information, e.g., patient, chart or other; miscellaneous information important to physicians, e.g., allergies, prior infectious diseases.
Exam: number of organ systems
Medical Decision Making (MDM)
To establish how many systems are needed to determine a level of billing, please refer to www.cms.hhs.gov, www.acofp.org.
If you have any questions regarding physician services, billing and coding, reimbursement or practice-related issues, email us at firstname.lastname@example.org.
Osteopathic physicians are trained to utilize osteopathic manipulative treatment (OMT) in the care of their patients. OMT offers an effective and nonpharmacologic option to treat a wide range of conditions, from common musculoskeletal disorders, such as low back and neck pain, to improving outcomes for elderly hospitalized patients admitted for pneumonia.
Giving Tuesday was celebrated for the first time in 2012. We encourage you to make your Giving Tuesday plans in the spirit of thankfulness that sometimes gets buried by the holiday advertising.
AAO life member Robert E. Kappler, DO, FAAODist, of River Grove, Illinois, died Oct. 18. Dr. Kappler was the 1980-81 president of the Academy, and he was a recipient of the AAO’s Andrew Taylor Still Medallion of Honor and the FAAO’s Distinguished Service Award.