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What is the new Therapy Cap process

by Medical Billing | Apr 20, 2017 | Medicare payment basics

New Therapy Cap Process: Frequently Asked Questions What is the new Therapy Cap process?  Answer: Starting October 1, 2012, claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to prior authorization. For outpatient therapy...

CPT Code 97760. 97761 and 97762, 97763 -Orthotic, prosthetic training

by Medical Billing | Sep 4, 2016 | Medicare payment basics

CPT CODE, DESCRIPTION AND FEE amount 97760 – Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes – Average Fee amount -$40 97761 –...

CPT CODE 64550 – Surface neurostimulator

by Medical Billing | Sep 3, 2016 | Medicare payment basics

CPT CODE  64550 – Application of surface (transcutaneous) neurostimulator – Average fee amount $17 Billing Codes physical and occupational therapists must use the appropriate CPT® and HCPCS codes 64550, 95831-95852, 95992, 97001-97799 and G0283, with...

CPT CODE 99183 AND G0277 – COVERAGE AND ICD code

by Medical Billing | Jul 15, 2016 | Medicare payment basics

Coverage Indications, Limitations, and/or Medical Necessity Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier....

Billing Multiple Infusion Therapies – Revenue code 0640, 0641, 0644

by Medical Billing | Jul 3, 2016 | Medicare payment basics

When billing home health services to Florida Blue, revenue codes and CPT/HCPCS should be reported using the most current publications. The matrix below indicates the commonly used the revenue codes to be used in billing home health/home infusion services. • Multiple...
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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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