Medicaid Reimbursement for Chiropractic Services
Medicaid reimburses for services rendered by licensed, Medicaid-participating chiropractors. Medicaid reimbursable services include a new patient visit, manipulation of the...
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Aetna Non-covered Lab code list
Aetna plans do not cover laboratory tests that are considered experimental or investigational, even when these studies are ordered by...
Coverage for Services Furnished by an Intern or Resident
Services furnished within the Scope of an Approved Training Program Medical and surgical services furnished by the intern or resident,...
CPT Code 99291 & CPT Code 99292 Reimbursement
Critical care is the care and monitoring of unstable critically ill or injured patients in a variety of medical emergencies that...
Billing Guidelines For Same Day Vaccines
Confusion arises for both payers and providers when the patient requires multiple vaccines on the same date, but administered via...
The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service is Medicaid’s comprehensive and preventive child health program for individuals under...
Update To Abortion Condition Codes
Effective October 1, 1998, Medicare does not cover abortions except when the pregnancy is a result of an act of...
Effective with dates of service on or after July 1, 2012, note that Medicare will return hospice claims where: Both...
Does BCBS insurance follows Medicare NCCI edits
Does BCBS follow Medicare guidelines? Yes, BCBS follows Medicare NCCI edits and the same has been incorporated into BCBS editing...
North Carolina Medicaid Preventive Exam & Screening Services
Regular Periodic Examination – Birth through 20 yearsHere is the Medicaid vision for North Carolina: CPT code(s): CPT 99381-9985; CPT...
Payment Rate Increases For Medicare RHC And FQHC
Rural Health Clinic (RHC) The RHC upper payment limit per visit is increased from $78.07 to $78.54 effective January 1,...
Home PT/INR For HCPCS G0250 Coverage & Limitations
Long Description CPT G0250: Physician review, interpretation, and patient management of home INR testing for a patient with either mechanical heart valve(s),...