Medicare coverage for Physical Examination services
Effective Jan 1, 2011 Medicare would cover Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) Medicare already covers...
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Important Information on the Timely Claims Filing Requirement
CMS reminds Medicare Fee-for-Service (FFS) physicians, providers and suppliers submitting claims to Medicare for payment that, as a result of...
CMS Guidelines for Diagnostic Coding
In the March 4, 1994 Federal Register, the Centers for Medicare and Medicaid Services announced all claims for physician services...
Standard ICD-9-CM Coding Conventions
Each space, typeface, indentation, and punctuation mark determines how you must interpret ICD-9-CM codes. These conventions were developed to help...
Florida BCBS – Reimbursement for Lab services
In-Office Laboratory ServicesOnly the laboratory (“lab”) services listed below are eligible for payment when performed in the office by a...
Florida Medicaid reimbursement for Adult Health Screening Services
Medicaid reimburses adult health screening services for recipients age 21 and older with the following procedure codes: • 99385 for...
Modifier AY: Item/service not for ESRD treatmentCertain laboratory services and limited drugs and supplies will be subject to Part B...
Updated New CPT Codes For 2011
Evaluation and Management – 3 New CPT Codes 2011 CPT 99224 – Subsequent observation care, per day, for the evaluation...
BCBSF uses the following code-editing logic; please note that this is a listing of all customized edits from the standard...
Medical Terms that are commonly found in patient medical recordsAnterior: Situated on the front surface of the body; ventral.Bilateral: On...
Florida Medicaid non-covered services and procedures – a quick review
Service Exclusions from Florida Physician Services Coverage and Limitations Handbook *Medicaid does not reimburse for immunization services for recipients who...
COLORECTAL CANCER SCREENING – MEDICARE BENEFITS
Medicare currently covers: A. Annual screening fecal-occult blood test (FOBT) guaiac or immunoassayB. Screening flexible sigmoidoscopy every 4 years;C. Screening...