by purush167 | May 13, 2024 | Medicare payment basics
CPT Code G0103 Information CPT Code: G0103 Description: CPT code G0103 refers to a Prostate Specific Antigen (PSA) test which is a screening method for prostate cancer. This is used primarily in a diagnostic laboratory setting. Insurance Guidelines: Medicare covers...
by purush167 | Dec 6, 2023 | Medicare payment basics
APPEALING A DENIAL A ‘denial of care’ is when a health plan does not pay for services or refuses to agree to treatment. All health plans are required to contact you in writing about their decision to deny care. They must give you the reason for the...
by purush167 | Nov 9, 2023 | Medicare payment basics
Revenue Cycle Management (RCM) Industry Checklist:Patient Registration Accurately record patient demographic and insurance details: Capture comprehensive and correct patient data to ensure smooth billing and reduce the chance of claim rejections. Confirm eligibility...
by purush167 | Sep 22, 2023 | Medicare payment basics
CPT Codes 0185U, 0186U, 0187U CPT Code and Description 0185U – Red Cell Antigen (H Blood Group) Genotyping (Fut1), Gene Analysis, Fut1 (Fucosyltransferase 1 [H Blood Group]) Exon 4. 0186U – Red Cell Antigen (H Blood Group) Genotyping (Fut2), Gene Analysis,...
by purush167 | Sep 7, 2023 | Medicare payment basics
CPT Code and Description 0197U – Red Cell Antigen (Landsteiner-Wiener Blood Group) Genotyping (Lw), Gene Analysis, Icam4 (Intercellular Adhesion Molecule 4 [Landsteiner-Wiener Blood Group]) Exon 1. 0198U – Red Cell Antigen (Rh Blood Group) Genotyping (Rhd...
by purush167 | Aug 7, 2023 | Medicare payment basics
CPT Code and Description 0055U – Cardiology (Heart Transplant), Cell-Free Dna, Pcr Assay Of 96 Dna Target Sequences (94 Single Nucleotide Polymorphism Targets And Two Control Targets), Plasma. 0056U – No Data found for this code. 0058U – Oncology...
by purush167 | Jul 27, 2023 | Medicare payment basics
CPT Code and Description 0005U – Oncology (Prostate) Gene Expression Profile By Real-Time Rt-Pcr Of 3 Genes (Erg, Pca3, And Spdef), Urine, Algorithm Reported As Risk Score. 0006M – Oncology (Hepatic), Mrna Expression Levels Of 161 Genes, Utilizing Fresh...
by purush167 | Jun 11, 2023 | Medicare payment basics
CPT code and Description 97597 Removal of devitalized tissue from wounds, selective debridement, without anesthesia, wound assessment, topical applications, instructions for ongoing care, total wound surface area first 20 sq cm May include scalpel, scissors, waterjet...
by purush167 | Mar 28, 2023 | Medicare payment basics
HOME HEALTH AGENCY (HHA) SERVICES: The Division of Health Care Financing and Policy (DHCFP) Home Health Agency (HHA) Program is a mandated home health care benefit provided to recipients in his/her residence. HHA services are a component in the continuum of care which...
by purush167 | Feb 9, 2023 | Medicare payment basics
How to Identify Members When members arrive at your office, remember to ask to see their current member identification (ID) cards at each visit. This will help you identify the product the member has and get dental plan contact information. It will also help you with...
