New Medical Practices You Should Know About

Utilizing CMS 1450 Forms

A CMS 1450 (or UB-04) form is normally used by an institutional health care provider on two occasions: (1) to bill most Medicaid State Agencies and (2) to bill a Medicare fiscal intermediary (FI) when the provider can effect a waiver of the electronic claims submission required by the Administrative Simplification Compliance Act (ASCA). 

The form is designed by the National Uniform Billing Committee (NUBC).

Three Qualifying Operations

Below are three recent operations that likely qualified for CMS 1450 form submission.

Assisted by ultrasound technology, one remarkable in utero pericardiocentesis medical procedure was performed in 2011 in Manhasset, N.Y. upon an 18-week old and seven inch long male fetus by a joint team of physicians from North Shore University Hospital (NSUH) and Cohen Children’s Medical Center. 

By inserting a needle through the mother’s abdomen, NSUH’s Dr. Nidhi Vohra was able to extract about a half-teaspoonful of fluid from the pericardial sac of Dante Francis’s quarter-sized fetal heart, a very large amount considering the heart size. NSUH provided the maternal/fetal experts and Cohen the pediatric specialists. 

This was only the 10th such procedure ever recorded in global medical history and the first ever in the New York area. 

It was considered necessary to prevent fetal heart failure and permit normal growth of the lungs.

Another series of incredible procedures were performed in September, 2011 in a Staten Island, N.Y. hospital on a 17 month old girl who had been shot in the temple and also lost her left eye as a result. Samyah Bailey subsequently endured eye surgery, brain surgery and plastic surgery and yet is miraculously breathing on her own. The shooter has been apprehended and faces criminal charges.

A more standardized but still phenomenal medical procedure to ease severe back pain has been developed called the AccuraScope procedure, based on a device of that same name created by North American Spine out of Dallas, TX. Instead of cutting through healthy muscle and tissue, a thin tube with a laser and high definition camera is inserted into the spinal canal via a three mm incision into the sacral hiatus, a natural opening at the spinal base. 

Now, such painful conditions as spinal stenosis, facet joint problems, bulging and herniated discs and degenerative disc disease are resolvable in one 30- to 45-minute outpatient procedure. And full recovery is usually possible within four to six weeks, with patients occasionally walking within the same day of the operation.

Sometimes conditions not even shown by an MRI can be detected and treated using the AccuraScope.