The following graph is to illustrate that single surgical procedures–even complex ones do not reimburse in the tens of thousands. Most complex procedures require multiple procedures and the most of the high hospital costs go to the facility–the hospital and not the surgeon. The takeaway here that reimbursement for liposuction… Continue reading
The most common claim form is the CMS-1500 form. This is what medical clinics use for professional services. (A hospital bills on a separate form, the UB-04). If you work out a Single Case Agreement (SCA) with and insurance company you will fill out the CMS-1500 form. Below are files… Continue reading
Yes, this is the same Guidebook that is on Amazon.com. It is provided here at no cost to you and in .DOC format so you can copy-and-paste any of into your pre-authorization or appeal document. I am updating it every 4-6 weeks. My goal is to update this document every… Continue reading
Simply calling the procedure liposuction for lipedema misses the complexity of the procedure, the additional time, and the expertise required to perform it safely. The one thing it should never be called is “cosmetic” or “aesthetic” liposuction. The procedure has many names, including: Tumescent Liposuction Tumescent Local Anesthesia (TLA) Lymph-Sparing… Continue reading
The information below would be of most interest to those performing liposuction for lipedema, and in particular those who are interested in obtaining carrier reimbursement for the procedure. Please see my other posts concerning reconstructive versus cosmetic and medical necessity for coverage of those important reimbursement issues. The information below… Continue reading