Coding and Reimbursement
2017 Helpful Coding Links
- February 2017: New Codes for Billing Work Outside of Patient Visits
- In June 2017, our team worked together to coordinate a response to the latest proposed Medicare inpatient rule changes, yielding a 12-page response that covered financial issues critical for our Society, ranging from potentially decreased inpatient reimbursement to impacts on emerging T cell immunotherapies. We should know by early August if these efforts were successful or if additional actions will be needed.
- August 2017: Care Management Visits, Codes and Appropriate Billing
- In September, the ASBMT sent three letters to the Centers for Medicare & Medicaid Services:
ASBMT Commentary on CY2018 Proposed Changes to Physician Fee Schedule
CMS Payment Models for Chimeric Antigen Receptor T Cell (CAR-T) Therapy
ASBMT Concerns with Proposed Changes to Outpatient Reimbursement Policies
ICD-10-PCS code for CAR T will go into effect on October 1, 2017
2016: ASBMT Responds to CMS Proposed Rule on MACRA
The Centers for Medicare and Medicaid Services (CMS) released a proposed rule regarding key parts of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA will affect numerous laws, regulations and government programs affecting physician reimbursement through Medicare.
The MACRA Proposed Rule contained two components: Merit-Based Incentive Payment Systems (MIPS), which partially repeals the meaningful use program for EHRs along with alternative payment models.
The ASBMT leadership response to the proposed rule can be viewed here.
View the presentation to find information on...
the Quality Payment Program?
the Merit-based Incentive Payment System (MIPS)
and incentives for participation in Advanced Alternative Payment Models (Advanced APMs)
2015 Guide to CPT Coding
A major overhaul of the CPT Codes for hematopoietic stem cell collection, processing and transplantation took effect January 1, 2003.
AN ONLINE TUTORIAL provides transplanters and administrators with an overview of the changes, including codes that have been added, revised and deleted.
Also available online is a POWERPOINT PRESENTATION on the new codes that was presented at the BMT Center Administrators Conference at the Tandem BMT Meetings, February 1, 2003, in Keystone, Colo., by Dr. James Gajewski, chair of the ASBMT Committee on CPT Codes.