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ATS Coding & Billing Quarterly

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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 mailed to ATS members who practice in the U.S., covers issues such as new CPT and ICD-9-CM codes, changing CPT and ICD-9-CM nomenclature and numbering, regulatory policies and Medicare coverage of pulmonary patients.

To receive email updates when a new issue of the CBQ becomes available please click here.

2014

  • April 2014
    • SGR Update
    • ICD-10 delay and implementation timeline
    • ICD-10 crosswalks
    • Transesophageal echocardiography billing
    • Positive pressure billing
    • Two midnight rule
  • January 2014
    • USPSTF Gives B Grade to Lung Cancer Screening
    • 2014 Medicare Physician Fee Schedule
    • Pulmonary and Critical Care Codes
    • Sleep Codes
      • Pulmonary Rehabilitation/Respiratory Therapy
      • Medicare Hospital Outpatients Payments
    • Pulmonary
    • Pulmonary Rehabilitation /Respiratory Therapy
    • Sleep Codes
      • Quality Measures
    • PQRS Qualified Clinical Data Registries
      • ICD-10-CM Is in Your Future!
      • Transitional Care Management

2013

  • September 2013
    • Editors Letter
    • Q&A Transition Care Management
    • SGR Update
    • 2014 Medicare Proposed Rules - HOPPS and MPFS
  • July 2013
    • Sustainable Growth Rate Formula (SGR)
    • New Coding and Billing Consultant
    • Proposed Hospital Inpatient Prospective Payment System Rule:
    • COPD Readmissions
    • COPD 30-Day Mortality Reporting
    • Implementation of the 25% rule for LTACHs
    • Q&A's:
      • Subspecialty Referrals Within a Pulmonary Practice
      • Calculated Lung Volume Measurement without Plethysmography
      • Coding for ABG Tests
  • March 2013
    • Sustainable Growth Rate Formula
    • Physician Payment Sunshine Reporting
    • DME Documentation Requirement
    • Q&As:
      • Bronchial Thermoplasty
      • Critical Care & Palliative Care Planning
      • Subspecialty Referrals within a Pulmonary Practice
      • Thoracentesis/Chest Tubes and Imaging Bundling

2012

  • December 2012
    • New Codes: Broncial Valves
    • New Codes: Bronchial Thermoplasty
    • New Codes: Pediatric Sleep
    • New Codes: Transitional Care Management (TCM) Services
    • Revised Codes: Thoracostomy (32551(/Throacentesis/Pleural Fluid Procedures
    • Pulmonary Rehabilitation Payment
    • Bronchography Code Deletions
  • October 2012
    • CMS Announces 1-Year Delay in ICD-10-CM Implementation
    • EHR Meaningful Use -Electronic Prescriptions Reporting
    • Physician Quality Reporting System
    • Q&A - Split/Shared Billing
    • Q&A NPP Critical Care Billing
  • July 2012
    • Medicare Reimbursement for Facility-base Pulmonary Rehabilitation Programs
    • AMA CPT Editorial Panel Actions
    • Questions and Answers:
      • Esophagoscopy with Fine Needle Aspiration
      • Pulmonary Function Testing
      • Sleep Medicine Specialty Designation
    • Bundling of Thoracentesis with Chest X-Rays
      • Bronchial Challenge Testing
  • March 2012
    • PQRS
    • Sample PQRS reporting form

2011

  • December 2011
    • New and deleted codes for pulmonary function testing
    • New quality reporting codes
    • Tele-health codes for smoking cessation
    • New bronchial thermoplasty CPT Level III tracking code
    • New ICD-9 CM diagnosis codes
    • Cuts in Medicare pulmonary rehabilitation reimbursement
  • August 2011
    • New ICD-9CM codes
    • Q&A - Diagnosis Reporting
  • July 2011
    • 2011 Payments: The Good, The Bad & The Ugly
    • Medicare Payments for the Same Procedure Differ Based on Practice Location
    • eRx payment program
    • Q&As
  • March 2011
    • Medicare Physician Quality Reporting Systems
    • Medicare Maintenance of Certification Bonus Payments
    • Medicare eRx Program
    • Medicare Electronic Health Record Bonus
    • 2011 Final Payment Values for Sleep Codes
    • Billing and Coding Advice at the ATS Denver Meeting
    • Coding and Billing Questions and Answers

2010

  • December 2010
    • Sleep Codes
    • Pulmonary Rehabilitation
    • Acoustic PFTs
    • Balloon Occlusion
    • PQRS Asthma Group Measures
  • September 2010
    • ICD-9 Codes for Pulmonary Medicine
    • E-Codes
    • Proposed Changes for Medicare Pulmonary Rehabilitation Reimbursement
    • Q&A: No Deconditioning Diagnosis Code
    • Q&A: Pleural Plaques
  • July 2010
    • Q&A: Sleep: Medication Reconciliation
    • Q&A: Bronchoscopy, Navigational, Therapeutic, Multiple & Risk Assessment
    • Q&A: Lung Volumes and Diffusing Capacity, Nitric Oxide Challenge, Mannitol Bronchial Challenge
    • Q&A: ECMO Denials Same Group Providers
    • Q&A: Omalizumab and E/M
    • Q&A: Ventilator Management
    • Q&A: Physician Quality Reporting Initiative (PQRI)
    • Q&A: Thoracoscopy
    • Q&A: Removal of a Pleural Catheter is Unlisted
    • Q&A: Pediatric Pulmonology
    • Q&A: ICD-9-CM
  • March 2010
    • 2010 E-Prescribing (eRx) Update
    • PQRI: Is it Right for You?
    • Pulmonary Performance Measures Description
    • Q&A: Fibrinolysis
    • Q&A: PFT Physician Supervision Requirements

2009

  • December 2009
    • CMS Eliminates Consultation Codes
    • New and Revised Codes for 2010
    • CMS Finalizes Pulmonary Rehabilitation Coverage Policy
    • 2009 Article Index
    • Q&A: Pulmonary Rehabilitation
  • September 2009
    • Proposed Medicare Physician Fee Schedule May be Troubling for Respiratory Community
    • ICD-9-CM Changes for Pulmonary, Critical Care and Sleep Medicine
    • CMS Issues H1N1 Vaccine Billing Guidance
    • The ICD-10 Transition (Part I)
    • Q&A: Plethysmography
  • July 2009
    • Identify Theft Protection - Red Flag Rule
    • PQRI Update
    • FAA Makes Skies Friendlier for Lung Patients
    • Highmark Critical Care Edits
    • Local Medicare Contractors: They Can Help
    • Q&A: TBNA Zones for Billing
    • Q&A: Thoracentesis vs. Thoracoscopy
    • Q&A: Thoracentesis
    • Q&A: Multiple Bronchoscopies
  • March 2009
    • CMS Transmittal 1548
    • EXPERT ADVICE: 10 Tips on Critical Care Coding
    • Sample Critical Care Notes

2008

  • December 2008
    • Neonatal and Pediatric Critical Care Codes Expanded and Renumbered
    • Renumbered Drug Infusion Code
    • Renumbered Injection Codes
    • Q&A: Consultations
    • Q&A: Critical Care Note
    • Q&A: HIRING PHYSICIAN ASSISTANTS
  • September 2008
    • BRONCHOSCOPY BILLING: THE MULTIPLE ENDOSCOPY RULE
    • New Diagnostic Codes for FY 2009
    • PHYSICIAN QUALITY REPORTING INITIATIVE UPDATE
    • Q&A: EBUS
    • Q&A: Critical Care
  • July 2008
    • DEVELOPING A COMPLIANCE PROGRAM FOR YOUR PRACTICE:THE BASICS
    • Q&A: Multiple Bronchoscopy
    • Q&A: HCPCS J codes for albuterol/levalbuterol
  • April 2008
    • Remote Critical Care Services
    • CPT 101
    • RUC 101
    • CMS Issues Final Policy on CPAP Devices
    • Q&A: Ventilator Management
    • Q&A: Thoracentesis
  • January 2008
    • NEW PULMONARY CODES FOR 2008
    • 2008 MODIFIER REVISIONS
    • PQRI AND PULMONARY PRACTICE
    • PHYSICIAN PRACTICE INFORMATION SURVEY