When will a Medicare Subsection (d) Hospital be paid?
Upon submission of a successful attestation of meaningful use, the hospital will be eligible for an EHR incentive payment. The...
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Florida BCBS Reimbursement and Limitations for Injections
Epidural Injections The total number of epidural, subarachnoid, or caudal injections (CPT 62310 and CPT code 62311) are limited to...
CPT codes for Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment,...
Payment Issuance For Successful Participants In 2010 Medicare PQRI
The eligible professionals who met the criteria for successful reporting of PQRI (name changed to PQRS in 2011) will receive...
How To Avoid E-Prescription Penalties?
The eligible professional becomes a successful electronic prescriber for purposes of the 2012 payment adjustment by reporting the electronic prescribing...
Electronic Submission of Medical Documentation (esMD)
Currently, review contractors request medical documentation by sending a paper letter to the provider. The provider has two options for...
CPT for Suction Pumps and Wound Dressings (2021)
Effective July 1, 2011, Medicare will allow four new K codes for billing suction pumps and accompanying surgical dressings. Ensure...
Will Medicare Pay Physicians Giving
A second opinion is when a doctor other than the patient’s regular doctor gives his or her view about patient’s...
Medicaid coverage for Fluoride Varnish
What is fluoride varnish? Fluoride varnish is a protective medication that is painted on teeth to help prevent new cavities...
BASICS OF MEDICARE PROVIDER-SUPPLIER ENROLLMENT & PECOS
The products listed below were developed by CMS in an effort to educate Medicare Fee-For-Service (FFS) providers about important Medicare...
ELECTRONIC HEALTH RECORDS (EHR) & its advantages
An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider...
Updates on Pharmacies billing drugs to Medicare Part B
Effective October 1, 2011 Pharmacies may bill Medicare Part B for certain classes of drugs, including immunosuppressive drugs, oral anti-emetic drugs, oral...