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COBRA Qualifying Events – Full Guideline

by purush167 | Nov 23, 2021 | Medicare payment basics

IMPORTANT DEFINITIONS Plans Subject to COBRA Almost all employers with group health plans must comply with COBRA, including corporations, partnerships and tax-exempt organizations. There is a small employer exception to COBRA—an employer’s group health plan is not...

CPT code 93880, 93985 – Duplex scan of extracranial arteries

by purush167 | Oct 9, 2021 | Medicare payment basics

CPT Code Description 93880 Duplex scan of extracranial arteries; complete bilateral study Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow...

What is Incidental procedures, Incidental edit, Mutually Exclusive procedures

by purush167 | Aug 12, 2021 | Medicare payment basics

Incidental Procedures An incidental procedure is carried out at the same time as a more complex primary procedure. These procedures require little additional provider resources and are generally not considered necessary to the performance of the primary procedure. For...

Medicare allowed amount, Maximum allowable

by purush167 | Jul 10, 2021 | Medicare payment basics

Medicare Allowed Amount Definition Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance” or “negotiated rate.” If your provider charges more than the medicare allowed...

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Medicare reimbursement articles

  • COBRA Qualifying Events – Full Guideline
  • CPT code 93880, 93985 – Duplex scan of extracranial arteries
  • What is Incidental procedures, Incidental edit, Mutually Exclusive procedures
  • Medicare allowed amount, Maximum allowable
  • CPT 30075, 30473, 30688 – Panendoscopy
  • Modifier 22 – Unusual increased procedural services – tips and reimbursement guidelines
  • Medicare ACO – Accountable care Organizations – All the update and Guideline
  • CPT code 49082, 49083, 49084 – abdominal paracentesis
  • CPT 47560, 47561, 47562, 47563, 47564, 47570 and 47579
  • CPT code 87635, 87426, 87428, 87811

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CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA
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