Instructions for Device Pass-Through Category C1840
Effective July 1, 2012, device pass-through category C1840 must be billed with CPT code 0308T (Insertion of ocular telescope prosthesis...
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Manual Medical Review of Therapy Services
Effective October 1, 2012, according to the Balanced Budget Act of 1997 enacted financial limitations on outpatient physical therapy, occupational...
Preoperative Diagnosis: Complete heart block. Postoperative Diagnosis: Mobitz Type II heart block. Anesthesia: Moderate conscious sedation. Description of procedure(s): The patient was taken to...
Updated Guidelines For General Occupational Therapy
Speech-language pathology services are those services provided within the scope of practice of speech-language pathologists and necessary for the diagnosis...
Checking A Patients Annual Wellness Visit (AWV) From Another Provider
Providers have different options for accessing Annual Wellness Visit (AWV) eligibility information depending on the jurisdiction in which they reside....
ICD-9 Codes that DO NOT Support Medical Necessity for Chiropractic Services
337.3 AUTONOMIC DYSREFLEXIA733.00 OSTEOPOROSIS UNSPECIFIED733.01 SENILE OSTEOPOROSIS733.02 IDIOPATHIC OSTEOPOROSIS733.03 DISUSE OSTEOPOROSIS733.09 OTHER OSTEOPOROSIS736.00 UNSPECIFIED DEFORMITY OF FOREARM EXCLUDING FINGERS736.01 CUBITUS...
How Medicaid Receives Crossover Claims
After providing a service to a dually-eligible recipient, the provider sends a claim to its Medicare carrier or intermediary. After...
Dialysis Adequacy, Infection and Vascular Access Reporting
The section 153c of MIPPA requires CMS to implement a quality based payment program for dialysis services effective January 1,...
General Occupational Therapy Guidelines
Occupational therapy services are those services provided within the scope of practice of occupational therapists and necessary for the diagnosis...
Aquatic Therapy With Therapeutic Properties
This procedure (97113 CPT Code Description) uses the therapeutic properties of water (e.g., buoyancy, resistance). Hydrotherapy is useful in post-operative...
Health Care Law Offers Free Preventive Services For 47 Million Women
The Health and Human Services (HHS) Secretary Kathleen Sebelius announced that 47 million women are getting greater control over their...
Global Surgical Split Care Payment In A Method II CAH (Modifier 54 – 55)
Global surgical procedures rendered by a physician that has reassigned their billing rights to a CAH Method II provider is...