by Medical Billing | Oct 24, 2018 | CPT modifiers
IntroductionMagnetic resonance – guided high – intensity ultrasound uses two technologies: magnetic resonance imaging (MRI) and ultrasound. It is a noninvasive procedure, which means the skin is not cut . MRI uses a magnetic...
by Medical Billing | Aug 24, 2018 | CPT modifiers
DENTAL BILLING:Dental services provided in the clinic setting (hospital or free-standing) are to be billed using the APG payment methodology. The only exception to this policy is orthodonture, which is to be billed to the dental practitioner fee schedule and not to...
by Medical Billing | Jun 16, 2018 | CPT modifiers
Corrections in the Medical Record If the original entry in the medical record is incomplete, contracting providers shall follow the guidelines below for making a correction, addendum, or amendment. Signature requirements as defined above apply to all corrections in...
by Medical Billing | May 18, 2018 | CPT modifiers
UTILIZATION REVIEW AND MEDICAL NECESSITY The contracting provider agreement requires providers to cooperate in utilization review and medical necessity determinations. Utilization review is the process of determining the appropriateness of services rendered to and...
by Medical Billing | Nov 13, 2017 | CPT modifiers
RESPITE BENEFIT Respite services provide limited and temporary relief for families caring for beneficiaries with complex health care needs when the care needs require nursing services in lieu of the trained caregivers. Services are provided in the family home by...
by Medical Billing | Oct 10, 2017 | CPT modifiers
CPT/HCPCS Codes J3490* Testosterone pellets (Testopel®) 11980* Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) * Providers must bill HCPCS code J3490 and CPT code 11980 on the same claim. If HCPCS code...
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