Medicare Payment, Reimbursement, CPT code, ICD, Denial Guidelines
  • Home
  • Finding Medicare fee schedule – HOw to Guide
  • Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
  • LCD and procedure to diagnosis lookup – How to Guide
  • Medicare claim address, phone numbers, payor id – revised list
  • Medicare Fee for Office Visit CPT Codes – CPT Code 99213, 99214, 99203
  • Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
  • Medicare revalidation process – how often provide need to do – FAQ
  • Step by step Guide Medicare participation program
  • Medicare payment basics
Select Page

Overview – Employer Group Waiver Plans -Guidelines and questions

by purush167 | Dec 15, 2021 | Medicare payment basics

Employer Group Waiver Plans Benefits of an EGWP Once all EGWP subsidies are received, your organization could realize an additional annual cash savings of $500- $700 per Medicare-eligible retiree or covered dependent per year compared to RDS. If you are a plan sponsor...

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...

CPT 30075, 30473, 30688 – Panendoscopy

by Medical Billing | May 28, 2021 | Medicare payment basics

 CPT CODE and Description30075-16 [977] Biopsy of pancreas30473-00 [1005] Panendoscopy to duodenum30688-00 [1949] Endoscopic ultrasoundDOUBLE BALLOON ENTEROSCOPYDouble balloon enteroscopy (DBE) is an endoscopic technique that allows examination of the small...

Modifier 22 – Unusual increased procedural services – tips and reimbursement guidelines

by Medical Billing | Mar 15, 2021 | Medicare payment basics

 MODIFIER 22-UNUSUAL PROCEDURAL SERVICESThis modifier indicates that a procedure was complicated, complex, difficult, or took significantly more time than usually required by the provider to complete the procedure. Documentation should be in simple “layman...
Medicare ACO – Accountable care Organizations – All the update and Guideline

Medicare ACO – Accountable care Organizations – All the update and Guideline

by Medical Billing | Mar 14, 2021 | Medicare payment basics

 Accountable Care Organizations (ACOs)What is an ACO?ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients.The goal of coordinated care is to ensure...

CPT code 49082, 49083, 49084 – abdominal paracentesis

by Medical Billing | Feb 28, 2021 | Medicare payment basics

Procedure Code Changes and Description• Deleted Codes* 49080 – Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial* 49081 – Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or...

CPT 47560, 47561, 47562, 47563, 47564, 47570 and 47579

by Medical Billing | Feb 15, 2021 | Medicare payment basics

Procedure code and Description 47560 Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy47561 with guided transhepatic cholangiography with biopsy47562 cholecystectomy47563 cholecystectomy with cholangiography47564 cholecystectomy with...
« Older Entries
Next Entries »

Get Medicare billing update instantly

Medicare reimbursement articles

  • CPT code 90649, 90650, 90651
  • Patient has WC and Medicare insurance? which insurance is primary.
  • CPT 91311, 0111A, 0112A – Covid Vaccine for children
  • 5 Important points to improve claim submission success rate
  • Corrected claim on UB 04 and CMS 1500 – replacement of prior claim
  • ID qualifier in CMS 1500 – 0B, 1B, 1C, 1D, ZZ ON UB 04
  • CPT CODE 90471, 90472, 90473, 90474 – Admin procedure codes
  • COVID Vaccine CPT and Administration Codes – Full list with ICD 10 code
  • CPT code 99424, 99425, 99426, 99427 – Principal Care Management Services
  • CMS Open payments program – what is it?

Medicare Guidelines visitors

AMA

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.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
All our content are education purpose only. All the articles are getting from various resources. If you find anything not as per policy. Please reach out and we would do the investigation and remove the article.
  • Medicare payment basics
  • Facebook
  • Twitter
  • Google
  • Instagram
  • RSS

Designed by Elegant Themes | Powered by WordPress