Billing Guidelines For Medicare Screening For Chlamydia and Gonorrhea, Syphilis & Hepatitis B
Billing Guidelines For Screening For chlamydia And Gonorrhea Pregnant women who are 24 years old or younger when the diagnosis...
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Exception For E/M Services Furnished in Certain Primary Care Centers
Medicare may grant a primary care exception within an approved GME Program in which you, the teaching physician, are paid...
Conditions to be met for Residency program
• The services must be furnished in a primary care center located in the outpatient department of a hospital or...
ELIGIBILITY FOR MEDICAID SERVICES
The Department of Children and Families and the Social Security Administration determine Medicaid recipient eligibility. Two basic groups of people...
Medicaid Reimbursement for Home Health Services
Home health services are provided in a recipient’s home or other authorized setting to promote, maintain or restore health or to...
Payment for Physician Services in Teaching Settings
Services furnished in teaching settings are paid through the Medicare Physician Fee Schedule (PFS) if the services are: • Personally...
Medicaid Reimbursement for ARNP Services
Florida Medicaid reimburses for services rendered by licensed, Medicaid-participating Advanced Registered Nurse Practitioners (ARNPs). The services must be rendered in collaboration...
PQRS New Claims-Based Measures for 2012
Measure # 241 Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control Measure # 245 Chronic...
Evaluation and Management Documentation Guidelines for Teaching Physicians
For a given encounter, the selection of the appropriate level of E/M services is determined according to the code of...
Emergency Update – New Screening Code G0449 and G0450 has been deleted
According to CMS Change Request 7737, Sub: Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB), the...
Aetna Code Edits and Claim Payment Policy for Modifier 59 and Modifier 81
Modifier 59 exceptions Effective March 1, 2011, Modifier 59 will not override the following incidental edits/code combinations: CPT 92502 when...
UHC coverage for Gardasil vaccine
CPT code 90649 – Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent), 3 dose schedule, for intramuscular...