Publications
The Billing Brief:
- July 1, 2008
Taking Care of Business While You Take Care of Patients - January 28, 2008
What You Need to Know About the 2008 Fee Schedule - August 6, 2007
Average Sales Price and Medicare Allowable: Do You Know the Difference? - September 11, 2006
AMA's Responses to Neltner Billings's Requested CPT Coding Changes - May 1, 2006
Neltner Billing Requests CPT Coding Changes - November 4, 2005
Solo Practitioner Round Table - June 20, 2005
Average Sales Price and Bad Debt on Drugs - April 18, 2005
2005 World Health Care Congress - January 31, 2005
A Look Back on Payment Rates - October 4, 2004
Are You Billing 96530 with Chemo? We Are, and We're Getting Paid. - August 9, 2004
Neltner Billing & Consulting's Comments to the American Medical Association's CPT Workgroup on Oncology Coding - July 12, 2004
American Medical Association Develops Coding Proposals Using Concepts from Neltner Billing and Consulting Applications - May 17, 2004
Neltner Billing and Consulting Meets With Senator Jim Bunning's Office Regarding Medicare Prescription Drug, Improvement and Modernization Act of 2003 - May 3, 2004
Acknowledging the Complexity of Oncology Services - April 19, 2004
Medicare's Competitive Bidding Program for Part B Drugs - April 5, 2004
"Deep Change" is Needed if Oncology is to Survive - March 22, 2004
De-ja-vu, A Look at the Parallel between Facility Fees and Nurse Assessments - February 16, 2004
Neltner Presentation to the AMA CPT Editorial Panel - February 9, 2004
New Practice Strategies with the Implementation of DIMA - January 26, 2004
How DIMA Affects Physician Reimbursement in Oncology - January 5, 2004
National Correct Coding Institute Edits of the Bone Marrow Biopsy and Aspiration Procedures - November 17, 2003
Oncology Treatment Planning Codes Recommended by Neltner Billing and Consulting - October 6, 2003
CMS Proposed Changes to Physician Office Fee Payments for 2004 - September 22, 2003
CMS Seeking Comments for Proposed Changes to APC Fee Schedule for 2004 - June 30, 2003
Neltner Billing & Consulting Meets With Medicare's Tom Scully - April 7, 2003
Why Managed Care Premiums are So High - January 6, 2003
Important Information Regarding Decrease in Drug Payments - November 25, 2002
Is Medicare utilizing a point system that has not been shared with oncologists? - September 23, 2002
Challenging Medicare's Payment Policies for Medical Oncology - August 19, 2002
Neltner Meets with Medicare - July 8, 2002
Neltner Billing and Consulting to Visit Medicare Office in Baltimore - June 17, 2002
What Do Payers Want and Why? - top->
Neltner Billing and Consulting E&M Documentation Audit Forms:
Table CC Audit Sheet Established Visit (pdf)-
Table DD Office Consultations (pdf)
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Table EE Initial & Observation Hospital Visit (pdf)
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Table FF Subsequent Hospital Visit (pdf)
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Other Publications:
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Billing help wanted: A guide to selecting a third-party biller" written by Janet Marcus, CPC (pdf)
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Drug Cost Table (pdf)
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Patient Flyer Sample (pdf)
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Procrit-Aranesp Editorial Sample (pdf)
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ESA Administration Form (pdf)
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Not Just a Routine Chemotherapy (pdf)
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The 96530 Brief (pdf)
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Bone Marrow Brief (pdf)
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Neltner Billing & Consulting's Response To The Gao's Report "Payments For Covered Outpatient Drugs Exceed Providers' Cost" (pdf)
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Oncology Melt Down Factors and Proposed Solutions (pdf)
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Letter to Terrence Kay - Centers for Medicare and Medicaid Services (pdf)
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Latest News as of
August 2008
Take Our Online Survey Regarding the High Cost of Oncology Drugs
If you're a medical oncologist/hematologist we need your help. We believe the current drug pricing methodology for chemotherapy and other related drugs is terribly flawed. It is driving practices out of business and putting patient care at risk. We'd like to gather actual practice data relative to this issue and how it's affecting practices across the US, tally it and submit in report format to key congressional and Medicare representatives. Our goal is to help drive reform in the drug purchasing process.
Take the survey –>Taking Care of Business While You Take Care of Patients
Are you billing Medicare and private pay insurance companies for every medically necessary and appropriate service? Would you be prepared if Medicare came back to you, disputed your billing and wanted funds returned? If not, you may want to consider outsourcing your billing services.
Read more –>Neltner Abstract Accepted by ASCO
Neltner Billing and Consulting is honored that the American Society of Clinical Oncology accepted our abstract, "An Examination of Oncology Drug Purchasing Compared to Average Sales Price" for online posting. You can view the full abstract on the ASCO website by clicking here.
Persistence Pays Off: A Success Story Worth Discussing
On behalf of a client, we have a great success story to report. One of our oncology clients was having continued denials with a large private pay insurance company. The oncologist was following AMA coding guidelines, but the insurance company did not agree.
Read more –>What You Need to Know About the 2008 Fee Schedule
It's 2008 and fee schedule changes have occurred. In the Practice Expense category, the RVU practice expense methodology is transitioning between now and 2010. "Direct" expenses will be affected (Clinical staff, Medical supplies and Medical equipment).
Read more –>Reality is in the Results, and It Is No Surprise: Your ASP Tallies
In a recent Neltner News article, we asked for you to complete our short ASP "worksheet". We've had several responses from oncology/hematology practices, comparing what they are paying to the Medicare allowable. The results? No surprise: most physicians are paying way too much.
Read more –>
Call Us Today For a Private Consultation
With the added pressure that national health care trends have put on physicians, hospitals and medical groups to conduct business, you are faced with more financial decisions than ever.
Call Neltner Billing and Consulting today for a private consultation regarding how we can proactively help manage your business.
888-635-8637
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