CHESTCoding, Billing, and Reimbursement

Coding, Billing, and Reimbursement

As a chest medicine specialist, it’s important that you stay current on the latest developments in clinical practice and operations. With this, CHEST and the American Thoracic Society (ATS) have partnered to form a Joint Clinical Practice Committee. The mission of this group is to monitor, review, comment on, and educate the membership of both societies on coding, billing, and regulatory compliance issues that impact pulmonary, critical care, and sleep medicine. This group actively participates in the American Medical Association (AMA) RUC and CPT processes and monitors, reviews, and comments on Centers for Medicare & Medicaid Services (CMS) coverage and payment policy, as well as advocates with CMS staff for pulmonary, critical care, and sleep services.

Below, you will find resources to assist you with your practice.

Joint ATS/CHEST Webinar on Medicare 2022 Final Rule

Recorded: January 20, 2022

Coding and billing experts from the Joint Clinical Practice Committee explain changes in the Medicare 2022 Physician Fee Schedule Final Rule that will impact pulmonary, critical care, and sleep providers.

WATCH THE WEBINAR »

Comment and sign-on letters

Joint ATS/CHEST Comments to CMS on ICD-10 Codes
October 14, 2022 | CHEST and the American Thoracic Society sent comments to the Centers for Medicare & Medicaid Services on coding proposals to be considered at the March 2023 ICD-10 Coordination and Maintenance Committee meeting, including proposals related to intubated prone positioning, bronchiolitis obliterans syndrome, and social determinants of health.

AMA Sign-on Letter Regarding Medicare Physician Payments
September 22, 2022 | CHEST signed onto a letter from the American Medical Association and dozens of other medical societies expressing concerns about the mounting financial instability of the Medicare physician payment system.

ICD-10 Code for Prone Positioning
June 10, 2022 | CHEST and ATS submitted a proposal to capture the services involved in prone positioning of intubated patients. The societies expect that creating this new code will allow better tracking of prone positioning use, as well as help institutions better understand the resources used in providing prone positioning services.

ICD-10 Code for Sepsis Aftercare
June 7, 2022 | CHEST, along with other members of the Critical Care Societies Collaborative, sent a letter strongly supporting a proposal for a new ICD-10-CM code, "Z51.2 – Encounter for Sepsis Aftercare." The societies noted that this code will improve public health by identifying a growing population of sepsis survivors and facilitating provision of relevant clinical services to reduce the well-known, health-related risks in postacute care settings.

Joint CHEST/ATS Comments to CMS on Proposed 2021 Medicare Physician Fee Schedule
October 5, 2020 | CHEST and ATS submitted comments to help CMS craft the final 2021 Medicare Physician Fee Schedule rule.

Additional resources

 

For more information related to clinical practice resources or the Joint Clinical Practice Committee, please contact Suzanne Sletto, ssletto@chestnet.org.

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