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Medicare payment method for Psychiatric and preventive services

by Medical Billing | Jun 8, 2010 | Medicare payment basics

Psychiatric Services  Psychiatric services and/or E/M services rendered in an office or outpatient setting, with Interna- tional Classification of Diseases, 9th revision, Clinical Management (ICD-9-CM) diagnosis codes (290-310), are reimbursed at 62.5 percent of...

Medicare payment fo EKG and X-RAY interpretations

by Medical Billing | Jun 8, 2010 | Medicare payment basics

EKG and X-Ray Interpretations When a need exists to provide a medically necessary X-ray or EKG to an emergency room patient, the following guidelines apply: * Payment will be made for the interpretation and report that directly contributed to the diagnosis and...

Who Pays the payment First When You Have Other Insurance?

by Medical Billing | May 24, 2010 | Medicare payment basics

When you have other insurance (like employer group health coverage), there are rules that decide whether Medicare or your other insurance pays first. The insurance that pays first is called the “primary payer” and pays up to the limits of its coverage. The one that...

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Medicare reimbursement articles

  • CPT code 93880, 93985 – Duplex scan of extracranial arteries
  • What is Incidental procedures, Incidental edit, Mutually Exclusive procedures
  • Medicare allowed amount, Maximum allowable
  • CPT 30075, 30473, 30688 – Panendoscopy
  • Modifier 22 – Unusual increased procedural services – tips and reimbursement guidelines
  • Medicare ACO – Accountable care Organizations – All the update and Guideline
  • CPT code 49082, 49083, 49084 – abdominal paracentesis
  • CPT 47560, 47561, 47562, 47563, 47564, 47570 and 47579
  • CPT code 87635, 87426, 87428, 87811
  • CPT 99401, 99402, g0446, g0447 and G0473

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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
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