Peco Code
How to Get Paid For Consulting When Medicare Eliminates Consultation Codes January 1, 2010
The CMS has released its final 2010 Physicians Fee Schedule. One of the most significant changes was the elimination of payment for consultation codes as of January 1, 2010.
This does not mean you can no longer do consultative work, it just means that you will have to bill these services differently than you do now. Here are the facts regarding this new ruling and the potential impact on your practice.
1. Consultation codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated effective January 1, 2010. Telehealth consultation G-codes (G0425-G0427) will not be eliminated.
2. Starting January 1, 2010, CPT codes for new (99201-99205) or established (99211-99215) patients should be used to replace consultations in the office/outpatient setting.
3. Starting January 1, 2010, CPT codes in the inpatient hospital setting (99221-99223) should be used to replace inpatient consultation codes (99251-99255), and for nursing facility consultations use codes (99304-99306).
4. To distinguish the difference between the admitting physician of record from the consultants for initial hospital inpatient and nursing facility admissions, CMS will develop a modifier. Currently, modifier "AI" is for principal physician of record, however Medicare has not finalized the modifier to be used for consultations.
5. Medicare states that its changes are budget neutral. RVUs for all E/M codes have been increased in an attempt to offset the fees lost from the elimination of consultation codes. The increase in E/M payments is approximately 6% for outpatient/office codes and 2% for inpatient codes above 2009 levels.
An important note regarding commercial or private insurance. No information has been released by other third party payers regarding payment for consultation codes as of yet. However, if a patient has Medicare as a secondary payer, a decision will need to be made by the physician as to how you will report the consultation. Any consultation claim filed with a commercial insurer such as Blue Cross or Aetna who is primary using the eliminated consultation codes when Medicare is secondary would result in a denial for the secondary claim by Medicare. In those instances where Medicare is secondary, you may want to consider using the new guidelines as stated above for reporting consultation codes.
One more note. If you have not updated your enrollment information with Medicare since November 2003, you must do so by April 5, 2010. Although enrolled in Medicare, many physicians who are eligible to refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare provider enrollment, chain and ownership system (PECOS) and also contains the physician's national provider identifier (NPI).
About the Author
Jeff Roh owns Profast Billing Solutions, which offers physicians billing services. For more information on how providers can increase their revenue and cash-flow, visit http://www.profastbilling.com.
Peco Code
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RV Storage in Las Vegas
Storing recreational vehicles is not an easy job, but people who have these big vehicles know that they to do it often. There are many reasons why people would want to store their RV. One of the reasons might be that they do not want to keep their recreational vehicles hanging around in the open because they are likely to get weathered by the excesses of the climate or even get stolen. Then there are problems with their big bulk too. People who own RVs and do not have their own parking space usually need to spend a lot of money on just the parking alone. Instead, they think it is better to give it a proper storage area where the RVs will not just get a shelter, but they will also be well cared for. One more reason why people look for RV storage is if they are traveling to a busy city and do not find a suitable place to keep their RV there when they are roaming around the city. This is usually what happens with people who come to Las Vegas in their RVs.
RV storage in Las Vegas has become immensely popular because many people come here with their families in their supersized recreational vehicles and then find out upon reaching here that there are not as many places to store their big vehicles as they expected them to be. That is the reason they then start looking around for places to park their vehicles and the RV storage units in Las Vegas seem to be a good idea.
Where are the Best RV Storage Facilities in Las Vegas
They are right when they say that you can find anything everywhere in Las Vegas. The same applies to the RV storage units. You can find these in the outskirts of the town, where people store their RVs and then use the public transport or hire a smaller vehicle to move inside the busily trafficked Las Vegas. Or, you can also find them right in the heart of town where you can park your RV very close to you and spend your happy days in the city. Knowing that you have a place to park when you arrive in Las Vegas takes a big load off of your shoulders.
Some of the most popular RV storage facilities in Las Vegas are Storage West on Pecos Rd., Value Self Storage on the Las Vegas Boulevard, the Oasis Las Vegas RV Resort on Windmill Lane, Charleston West on the Charleston Boulevard and several others. In fact, you can just run a search on the Internet to look for storage facilities in Las Vegas and you are sure to find hundreds of options to choose from.
Location-wise, all of these RV storage facilities are quite strategically placed. They are present in the main streets as well as a little away from the main hustle and bustle of the city from where they can be picked up when returning.
Booking an RV Storage Facility with Las Vegas
Las Vegas is always full with people who come here to have a good time. Most of these people come here in their own recreational vehicles. Now, since these vehicles occupy a lot of space, the warehouse owners are in a fix when the peak seasons come and there is a high tide of recreational vehicles pouring into the town. When that happens, you will find it very difficult to get a storage facility for your precious vehicle.
The solution is to book early. Most of the companies that handle RV storage in Las Vegas also have their bookings and take online reservations. So, before heading out to Las Vegas, you can make a reservation for your recreational vehicle so that you are at peace when you are on your vacation.
Features with RV Storage Facilities in Las Vegas
Las Vegas is one of the hippest cities in the US and hence it is quite expected that the facilities available with the RV storage units will also be quite sophisticated. There are some complex accessibility and security features present in the city.
Most of these are climate controlled so that the recreational vehicles can be kept at the right temperatures. However, there are those without climate control too, so you need to look hard. These facilities are also equipped with several features that help in easy loading and uploading of the RVs. This includes dollies and freight elevators.
The security features are also quite commendable. There are electronic coding security systems in almost most of the facilities which are undefeatable by any people who come here without authorized access. Surveillance cameras are usually on 24 hours in such facilities.
About the Author
Simply Self Storage - What Could be Easier than Simply?
Simply Self Storage is the largest privately owned self storage company in the United States and Puerto Rico. We own and/or operate over 228 facilities with over 16.1 million square feet of storage space.