The AAO Board of Trustees created the Osteopathic Medical Economics Committee as an informational resource for members dealing with difficulties regarding coding reimbursement for osteopathic manipulative treatment (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 osteopathic manipulative medicine experts for medical opinions, depositions and court testimony.
In addition, the American Osteopathic Association has many valuable resources for physicians in practice, including HIPAA guidance, billing and coding information, ICD-10 FAQs, a Medicare enrollment guide and advice for physicians who are starting, selling or closing a practice.
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.
Nominate an outstanding resident for the 2019 AOF/AAO Outstanding Resident of the Year in Osteopathic Manipulative Medicine. Deadline: May 10
Eileen L. DiGiovanna, DO, FAAO, of Smithtown, New York, received the Distinguished Service Award from the Committee on Fellowship in the American Academy of Osteopathy (AAO) on March 15 at the Academy’s annual Convocation in Orlando, Florida.
Robert C. Ward, DO, FAAO, of East Lansing, Michigan, received the Distinguished Service Award from the Committee on Fellowship in the American Academy of Osteopathy (AAO) on March 15 at the Academy’s annual Convocation in Orlando, Florida.