Is their any modifier for repeated tests in laboratories?
Yes, Modifier 91 that denotes “Repeat Clinical Diagnostic Laboratory Test” should be appended to laboratory procedure(s) or service(s) to indicate...
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What is Home Health service or Home care services? “Home health service”, “Home care”, “home health care” and “in-home care”...
What is SGR, What is Conversion factor (CF) and how they are calculated?
Medicare annually updates payment rates for inflation for most provider services, physician services are updated by a formula mandated in...
Seven components of IPPE – Initial Preventive Physical Examination
The IPPE is a preventive Evaluation and Management (E/M) service that includes seven components. These seven components enable the Medicare...
Alternative Billing for Liability Insurance and Charges to Patients Generally, providers, physicians and other suppliers must bill liability insurance prior...
The major systems of the human body are: 1. Cardiovascular System (Heart, Blood Vessels (Arteries, Capillaries, Veins). 2. Circulatory System...
Black Lung Disease Coverage and Limitations
Coal workers’ pneumoconiosis (CWP), colloquially referred to as black lung disease that results from breathing in dust from coal, graphite, or man-made...
BCBS FL Limited Code Combinations
The following is a list of combinations that Blue Cross and Blue Shield of Florida has determined are not appropriately...
A substitute physician, sometimes called a locum tenens physician, is a physician who is hired to temporarily replace another physician...
2011 Incentive Payment Programs Other Than PQRS, EHR & ERX
Primary Care Incentive Payment Program (PCIP) 2016 PPACA (Patient Protection and Affordable Care Act ) established the PCIP to provide incentive...
UHC Preauthorization requirements
Here we discuss UnitedHealthCare sleep study coverage. Obstructive sleep apnea (OSA) is a treatable form of sleep disordered breathing. OSA...
UHC Cardiology Notification Program – Procedures Requiring Notification
Notification is required for each of the following procedures in all places of service including inpatient, outpatient, and office-based settings:...