Office / Outpatient or ED E/M Visit On Day Of Nursing Facility Admission
Carriers may not pay a physician for an emergency department visit or an office visit and a comprehensive nursing facility...
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Office / Outpatient or ED E/M Visit On Day Of Nursing Facility Admission
Carriers may not pay a physician for an emergency department visit or an office visit and a comprehensive nursing facility...
Definition of New Patient for Selection of E/M Visit Code
What is the definition of a new patient? The phrase “new patient” mean a patient who has not received any...
Primary Care Practitioners (PCP) and Primary Care Services
Primary care practitioner is defined as: 1. A physician who has a primary specialty designation of family medicine, internal medicine,...
Medicare Coverage for Transcatheter Aortic Valve Replacement (TAVR)
Transcatheter aortic valve replacement (TAVR – also known as TAVI or transcatheter aortic valve implantation) is a new technology for...
Admission to Inpatient Status Following Observation Care on the same day
If the same physician who ordered hospital outpatient observation services also admits the patient to inpatient status before the end...
Services included in cardiac catheterization and coronary angiography
The following services are included in cardiac catheterization and coronary angiography, and should not be separately billed to Medicare: sedation;...
List of Preventive Services Covered by Medicare
The following Medicare-covered preventive services and screenings are subject to certain eligibility and other limitations: Abdominal Aortic Aneurysm Screening; Adult...
Hemophilia is a hereditary blood disease characterized by greatly prolonged coagulation time. The blood fails to clot and abnormal bleeding...
Drugs that are Covered Under Original Medicare Part B
The term “drug” means “drug or biological.” Drugs that are covered under Medicare Part B are governed by the Original...
Medicare Coverage for Surgical Dressings
Surgical dressings are covered for as long as they are medically necessary. Surgical dressings are covered when either of the...
What is Religious Nonmedical Health Care Institution (RNHCI) ?
Religious nonmedical care or religious method of healing means health care furnished under established religious tenets that prohibit conventional or...
Differences between Emergency and Urgently Needed Services
An emergency medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such...