Skilled Nursing Facility Value-Based Purchasing Program
The Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP) What is the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP)?The SNF VBP Program focuses on better outcomes and...
View ArticleCPT g9873, g9874, G9875, G9880- G9891 - DIABETES PREVENTION
Medicare Diabetes Prevention Program: New Covered ServiceMedicare Diabetes Prevention Program (MDPP)"HCPCS G-Code" Description "VM Allowed* " Payment CORE SESSIONS G9873 MDPP...
View ArticleCPT CODE changes in 2019, add on code, deleted code
CPT Updates for 2019The below CPT updates would give a brief note on 2019 code changes which includes the details on newly added codes, revised codes with descriptors and also the deleted codes. As we...
View ArticleW series CPT code list
W series CPT codes IntroductionCurrent Procedural Terminology (CPT) codes are used for reporting medical services and procedures performed by physicians. Their purpose is to provide a uniform language...
View ArticleCategory I CPT Codes, requirements and basics and comparison vs Category III...
Category I CPT CodesCategory I CPT codes describe a procedure or service identified with a five-digit CPT code and descriptor nomenclature. The inclusion of a descriptor and its associated specific...
View ArticleCPT Category II codes, why and what is the purpose,description, example
What is the purpose of CPT II codes?CPT II codes help define nationally established performance measures by facilitating data collection regarding the quality of care rendered.CPT II codes describe:•...
View Articlewhat is Medicare as secondary payer - different situation
Medicare Second Payer Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first. (The private insurance industry generally talks about "Coordination...
View ArticleCPT Category III Codes, definition, guidelines and examples
CPT Category III CodesThe following CPT codes are an excerpt of the CPT Category III code set, a temporary set of codes for emerging technologies, services, procedures, and service paradigms. For more...
View ArticleMedical billing (RCM) Process - step by step explained
An efficient RCM process in medical billing can enhance medical practice revenues.The primary job of any medical practice is to provide the best medical care to ensure positive results. However, bogged...
View ArticleMedical billing specialist salary - How much they can earn and requirements
Medical billing specialist salaryBecoming a proficient medical biller isn't easy as one should invest proper time in learning. Specialists are relatively expert in verifying medical bills, claims and...
View ArticleMedical Bill dispute - How to avoid and how to resolve
The crucial Guide of Disputing Medical Bills or Insurance Policy (Complete Guide)Over the years, the majority of the folks are encountering complicated issues with medical billing. Therefore, it is...
View ArticleCPT code 92540, 92541, 92543, 92545- 92547 - Vesticular Evaluation
Procedure code and Description92540 Basic vestibular evaluation…92541 Spontaneous nystagmus including gaze and nystagmus, with recording test, fixation92542 Positional nystagmus test, minimum of 4...
View ArticleCPT code 99050, 99051, 99053, 99056 - After Office hour procedures
Procedure code and Description99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday),...
View ArticleCPT H0031 - Mental health assessment program
Procedure Code and Unit of Service: H0031– Mental Health Assessment by a Non-Mental Health Therapist – per 15 minutes Mental Health Assessment Guidelines from MedicaidMental Health Assessment means...
View ArticleCPT 99217, 99218, 99219, 99220 - Observation care codes
CPT Code Description99217 Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status"...
View ArticlePatient discharge status code List and Definition
Patient Discharge Status Code - DefinitionA patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a...
View ArticlePartial Hospitalization Program and services
Partial Hospitalization Services Partial hospitalization programs (PHPs) are structured to provide intensive psychiatric care through active treatment that utilizes a combination of the clinically...
View ArticleCPT G0104, G0105, G0106, G0120 - Colorectal cancer screening
Procedure code and Description• CPT 82270 (HCPCS G0107) - Colorectal cancer screening; fecal-occult blood tests, 1-3 simultaneousdeterminations;• HCPCS G0104 - Colorectal cancer screening; flexible...
View ArticleCPT U0001,U0002, 87635 - Coronavirus - ICD J12.89, A41.89, B34.2
CPT code and DescriptionU0001 - 2019 Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel should be used when specimens are sent to the CDC and CDC-approved local/state health department...
View ArticleCPT code 12001,12018 - Laceration repair
CPT Codes for Laceration Repair Laceration Simple/Superficial-Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities : 2.5 cm or less - cpt 12001Simple RepairsCPT Codes 12001 – 12018** Usually...
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