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....
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...
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...
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...
