by Lori | Sep 23, 2015 | Medicare payment basics
Pre-operative Period Billing E /M Service Resulting in the Initial Decision to Perform Surgery Evaluation/ Management (E/M) services on the day before major surgery or on the day of major surgery that result in the initial decision to perform the surgery are not...
by Lori | Aug 5, 2015 | Medicare payment basics
Physicians Who Furnish the Entire Global Package Physicians who furnish the surgery and furnish all of the usual pre-and post-operative work may bill for the global package by entering the appropriate CPT code for the surgical procedure only. Separate billing is not...
by Lori | Jun 7, 2015 | Medicare payment basics
When Medicare began in the 1960s, it was the primary payer for all services except those covered by workers compensation. Then in 1980, Congress enacted provisions to shift costs from the Medicare program to private insurers, when possible. This legislation stopped...
by Medical Billing | Mar 16, 2015 | Medicare payment basics
d. Worker’s Compensation Medicare is secondary to Worker’s Compensation benefits if the patient is being treated for a work related illness or injury. If the claim is contested, pending the Worker’s Compensation Board decision, the physician/supplier...
by Lori | Mar 5, 2015 | Medicare payment basics
Medicare As Secondary Payer Until 1980, Medicare was the primary payer for all Medicare covered services except for services covered by workers’ compensation or black lung benefits or paid for by the Department of Veterans Affairs or other government entities....
