Samuel A. Collins is the director of the H.J. Ross Network, a consulting group for doctors on billing and collection for insurance claims. He is a featured speaker on billing and coding for the AAOM and the California State Oriental Medical Association, as well as many acupuncture colleges. You are encouraged to submit your billing questions to him at sam@hjrossnetwork.com.
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When we talk about fertility, the focus is often placed on the ovaries and the uterus. Yet sperm-related factors contribute to nearly half of all cases of infertility. Whether someone is navigating fertility care alone or with a partner, and whether building a family through intercourse, IVI, IUI or IVF, it’s vital to include sperm health in the picture.
With some plans – and it starts with Medicare (CMS) – there is a payment protocol that may be referred to as a multi-therapy discount, but its official name is the multiple-procedure payment reduction (MPPR). If a health care provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the highest-valued procedure.
Our team of authors offer this paper (and this descriptive AT series) as a support for you as a professional, practitioner and member of the acupuncture community at large. We hope that it will serve to further the needs of acupuncturists everywhere and also act as a guide for those wishing to learn about Acupuncture Medicine – patients, healthcare decision makers, policymakers, and other stakeholders.