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DOS reporting for pre-operative test

by Medical Billing | Oct 23, 2016 | Medicare payment basics

Outpatient Hospital Requirements Outlined below are generally accepted billing guidelines. Submit one bill to Florida Blue for: All services provided on the day or within 72 hours, unless otherwise specified in your contract, of a surgical procedure being performed....

How much payment would get Assitant Surgeon, Co- Surgery and Team surgery

by Medical Billing | Apr 21, 2016 | Medicare payment basics

Assistant Surgeon Services Harvard Pilgrim reimburses assistant surgeon services when the assistant at surgery is a physician, a physician assistant, or a nurse practitioner consistent with CMS’ determination of approved procedure codes payable to an assistant...

Insurance payment for E & M service on Global day and multiple procedures

by Medical Billing | Apr 11, 2016 | Medicare payment basics

Significant, Separately Identifiable E&M with Global Day Service—Same Day Policy will apply to all professional services performed in an office place of service, when significant, separately identifiable E/M service (appended with 25 modifier) and any service that...

what is Pre-operative Period Billing and post operative billing ? Which modifier can use ?

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...

Global Surgery Coding and Billing Guidelines – what modifier to use

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...
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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.
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.
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