by Medical Billing | Mar 15, 2021 | Medicare payment basics
MODIFIER 22-UNUSUAL PROCEDURAL SERVICES This 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...
by Medical Billing | Jun 11, 2020 | Medicare payment basics
A. Policy Aetna Better Health of Louisiana implements comprehensive and robust policies to ensure alignment with Louisiana Department of Health (LDH) and to warrant that regulatory standards are met. According to the AMA CPT Manual, the HCPCS Level II Manual and our...
by Medical Billing | Aug 14, 2016 | Medicare payment basics
Modifier and DescriptionAT – Active TreatmentProvider Action NeededThe Active Treatment (AT) modifier was developed to clearly define the difference between active treatment and maintenance treatment. Medicare pays only for active/corrective treatment to...
by Medical Billing | Aug 10, 2016 | Medicare payment basics
Policy Definition Audiology is the study of hearing and hearing disorders and includes habilitation and rehabilitation for individuals who have hearing loss Provider Billing Guidelines and Documentation Coding Code Description Comments 92550–92588 Audiometric...
by Lori | Oct 28, 2015 | Medicare payment basics
Medicare Part B allows coverage for services and items deemed medically reasonable and necessary for treatment and diagnosis of the patient. For some services, to ensure that payment is made only for medically necessary services or items, coverage may be limited based...