by Lori | Apr 7, 2015 | CPT modifiers
DEFINITION OF A GLOBAL SURGICAL PACKAGE The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical procedure includes the...
by Lori | Mar 26, 2015 | CPT modifiers
Modifiers indicate a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. When selecting the appropriate modifier to be reported with your claim, please ensure that the modifier is valid...
by Lori | Feb 9, 2015 | CPT modifiers
99221 : Inpatient hospital visits: Initial and subsequent initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical...
by Lori | Dec 29, 2014 | CPT modifiers
Important CPT Modifier 59 changes are coming one of the frequently used and misused modifier for Medicare reimbursement of CPT Codes in Acupuncture, Breast Biopsies, Physical Therapy, Radiology, Surgery and other medical practices. On August 15, 2014 CMS released the...
by Medical Billing | Oct 16, 2014 | CPT modifiers
QW – CLIA WAIVED TEST The Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations require a facility to be appropriately certified for each test performed. To ensure that Medicare & Medicaid only pay for laboratory tests categorized as...
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