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:
To access these and other resources, log onto www.osteopathic.org, go to Professional Development and click on Practice Management.
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.
The Louisa Burns Osteopathic Research Committee (LBORC) and the National Undergraduate Fellows Association (NUFA) are calling for submissions to their annual Research Poster Presentation. Posters will be displayed in the exhibit hall on Thursday, March 23, and Friday, March 24, during the 2017 Convocation at The Broadmoor.
The US Department of Veterans Affairs (VA) published a final rule this week that will provide certain advanced practice registered nurses (APRNs) with full practice authority within VA facilities. The rule pre-empts state scope of practice laws regulating medical care for services provided as part of an individual’s scope of employment within the VA system. The proposed rule would have allowed full independent practice for certified registered nurse anesthetists; they were removed from the final rule and their practice will remain under physician oversight.
The Postgraduate American Academy of Osteopathy (PAAO) needs your help! At the AAO's annual Convocation, the PAAO hosts a mixer for residents. This is an excellent opportunity for residents to network with each other and with potential employers. The raffle that is held during the mixer encourages attendance, helps break the ice and generally keeps things hopping.