Articles - Page 2381

Revised Payment Methodology For Anaesthesiology Claims Modifier GC

Teaching anesthesiologists rendering services in a Method II CAH (also referred to as CAHs that have elected the optional method)...

Charges Imposed by Patient’s Relatives or Household Members

A. General These are expenses that constitute charges by immediate relatives of the beneficiary or by members of their household....

How to get paid for Ropivacaine HCL (Naropin) injection J2795 ?

The Ropivacaine J code is J2795.HCPCS Code J2795 – Injection, ropivacaine HCl, 1 mg To submit claims for ropivacaine HCl...

CIGNA Coverage For Mammography

CIGNA covers an annual screening mammography as medically necessary for ANY of the following indications: Woman age 40 and over ...

Coverage for COMPRESSION BURN GARMENTS (A6501-A6513)

Compression burn garments are covered under the Surgical Dressings benefit when they are used to reduce hypertrophic scarring and joint...

New Interest Rate for Medicare Overpayments and Underpayments

Medicare Regulation 42 CFR §405.378 provides for the assessment of interest at the higher of the current value of funds...

Medicare Coverage for Abortions

Abortions are not covered Medicare procedures except: If the pregnancy is the result of an act of rape or incest;...

Medicare Coverage for Cosmetic Surgery

PQRS Cosmetic surgery or expenses incurred in connection with such surgery is not covered. PQRS Cosmetic surgery includes any surgical...

PCIP Eligibility For New Providers Enrolled In Medicare

Definitions for Primary Care Practitioners (PCP) and Primary Care Services The following information is for the Primary Care Incentive Payment...

Attending Provider Identifiers on RNHCI Claims

Effective September 24, 2012 Religious Nonmedical Health Care Institution (RNHCI) submitting claims to Original Medicare should report the name and...

HCPCS Codes & Coverage for Compression Bandages

Light compression bandages, self-adherent bandages, and conforming bandages are covered when they are used to hold wound cover dressings in...

Method of Primary Care Incentive Payment (PCIP)

The following information is about Primary Care Incentive Payment Program PCIP 2017. Calculate and pay qualifying primary care practitioners an...