Counseling to Prevent Tobacco Use
Medicare Part B already covers cessation counseling for individuals who: 1. Use tobacco and have been diagnosed with a recognized tobacco-related disease, or, 2. Use… Read More »Counseling to Prevent Tobacco Use
Roster Billing
Roster Billing is a simplified billing process that allows mass immunizers to submit one claim with a list of the members they immunized. Mass immunizers… Read More »Roster Billing
Hardship codes
Under 2011 Electronic Prescribing Incentive Program if an Eligible Professional is not a successful electronic prescriber then the payment will be reduced by 1 percent during… Read More »Hardship codes
How do we get paid for a tetanus shot for a Medicare patient?
The tetanus vaccine CPT code is 90703. Medicare does not currently pay for the Tetanus vaccines as they consider it preventive and it doesn’t happen… Read More »How do we get paid for a tetanus shot for a Medicare patient?
Instructions for Billing of Monthly Home Dialysis MCP services
Effective January 1, 2011, the MCP (Monthly Capitation Payment) physician (or practitioner) must furnish at least one face-to-face patient visit per month for the home… Read More »Instructions for Billing of Monthly Home Dialysis MCP services
DMEPOS Modifiers – Competitive Bidding Program
Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Modifier J4-DMEPOS Item Subject to DMEPOS Competitive Bidding… Read More »DMEPOS Modifiers – Competitive Bidding Program
Seasonal Influenza Virus, Pneumococcal and Hepatitis B – FAQs
Does a Part B deductible or coinsurance apply to adult immunizations covered by Medicare? Neither a Part B deductible nor coinsurance applies to the seasonal… Read More »Seasonal Influenza Virus, Pneumococcal and Hepatitis B – FAQs
2011 PQRS / PQRI Gastroenterology Measure Specifications
2011 Physician Quality Reporting System (“Physician Quality Reporting,” formerly known as Physician Quality Reporting Initiative or PQRI). Each measure is assigned a unique number. Measure… Read More »2011 PQRS / PQRI Gastroenterology Measure Specifications
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 “Welcome to Medicare” physical exam… Read More »Medicare coverage for Physical Examination services
2011 Payment for Influenza Vaccines
Effective for claims with dates of service on or after January 1, 2011, the following CPT code will no longer be payable for Medicare: CPT… Read More »2011 Payment for Influenza Vaccines