Yes–I am just reading this now as I see recent postings in NORM about this forum and totally forgot I belong to it since March of this year. I have two letters I can submit to this forum, from ACR to Correct Coding Solutions (they administer the edits) and the Correct Coding Solutions answer to ACR. Basically, Correct Coding went thru AMA to announce posting of these limits for comments–and NO ONE COMMENTED, so it was finalized. It wasn’t until the ACR wrote later on (and outside comment period when this became a known issue), but by then it was too late. Correct Coding even wrote to ACR this was the first they even heard about this objection. Having said this, you can appeal the denial to your MAC with supportive evidence, and if medically necessary they will override the edit. It is also POSSIBLE, but not guaranteed, that a MAC could flag that patient’s claims moving forward so as to override their edit. I am not sure where I can post as attachment on this forum those letters, so Cheri, I will send to you via regular email since you are in my WI team.
- As a speaker at the first ad hoc meeting of rheumatology practice managers gathered in a single small room at its infancy a decade ago, I’m amazed to see how NORM has blossomed into a high energy organization of depth and professional meetings with parallel break-out symposia between plenary sessions. NORM has truly come of age. This is where the “business” of rheumatology gets learned. The ”guildmanship” for rheumatology practice management is now strong.- Paul H. Caldron, DO, FACP, FACR, MBA, Arizona Arthritis and Rheumatology Associates
- In a time of demanding changes in the management of medical practices in the US, NORM has been a lifesaver to the community of Rheumatology practices. NORM has allowed our practice to stay ahead of the many demands of CMS and others payors and has ensured that our practice remains cognizant of new issues that arise in HIPPA compliance, human resources and medical billing to name a few. Sending our Practice Manager to NORM's conferences has been cost-effective and beneficial to our practice because she returns to our office with an abundance of information that otherwise would have taken months to compile. Every Rheumatology practice that wishes to stay on top of emerging issues in practice management should consider sending a member of their staff to NORM's conference.- Michael S. Rosen M.D., Chester County Rheumatology PC
- Thanks to all those wonderful people in the NORM Network who respond to emails, offering their advice, experience, time, and support ... I haven't even been a member a full year yet and I am amazed at the dedication of everyone who responds to helping via emails and the NORM Organization itself! I have barely had a chance to explore the resources and I have yet to really dive into requests for help still I am silently learning so much and do occasionally offer what I can! Thank you all!- Cheryl Piambino, Kenneth E. Bresky, DO