The attached spreadsheet, a much shortened version of the 2021 Medicare PFSRVU file, includes only 2021 Hand and Wrist Orthopedic Procedures with no SOSD in the following categories: Flexor And Extensor Tendon Repair Tendon Transfer Dupuytren Contracture Release Trigger Finger And Carpal Tunnel Release Surgical Treatment Of Metacarpal And Phalangeal… Continue reading
Leverage: Identify your clinic’s leverage before entering negotiations with a health plan. How many surgeons perform ECTR in your city? Unique Services: Does your practice offer any unique services that will benefit the health plan and its members? Patient Mix: An OBS / WALANT clinic can accept patients not appropriate… Continue reading
This is the different total reimbursement, including both the Professional fees paid the the Physician and a separate payment paid to the facility (ASC, hospital outpatient, or inpatient hospital). It is described with RVU’s, explained in more detail here. Some 90-day surgeries do not have a Site of Service Differential… Continue reading
Surgeries can be performed in different Places of Service (POS) Office: POS=11 Ambulatory Surgery Center: POS=22 Hospital Outpatient: POS=24 Hospital Inpatient: POS=21 Many minor surgeries such as biopsies, lesion removals and simple sutures are 10-day global procedures and routinely performed in the office. Typically a facility is used when the… Continue reading
Known as the Wide-Awake Local Anesthesia No Tourniquet procedure this technique revolutionizes how hand and wrist surgeries are performed for conditions such as: Carpal tunnel syndrome De Quervain’s tenosynovitis Tendon ruptures Trigger finger WALANT is especially beneficial for patients who do not want to or are unable to undergo general… Continue reading
Many hand surgery procedures such as carpal tunnel release, tendon repair and removal of masses can now be performed under local anesthesia alone, avoiding the use of sedation or general anesthesia. The technique—known as Wide-Awake Local Anesthesia, No Tourniquet (WALANT)—can be performed in the surgeon’s office. The ability to safely… Continue reading
That are currently assigned as “facility-only.” These do not have a Site of Service Differential. My name is Jeffrey Restuccio, CPC, COC, I am a reimbursement expert and I’m working on a long-term project with the goal of obtaining appropriate office overhead reimbursement (non-facility physician expense RVU’s or a “facility… Continue reading
For the purpose of this project and analysis there are two types of surgical procedures. Updated Sep 2021. Facility OR office-based Facility-Only 1 Those that can be performed in the office or a facility (ASC, hospital outpatient department [HOPD] or hospital). Considered “Facility-Only”. 2 There is a Site of Service… Continue reading