Oct 31, 2016 | Medical billing basics
HYPERTENSION Definition Change In ICD-10, hypertension is defined as essential (primary). The concept of “benign or malignant” as it relates to hypertension no longer exists. When documenting hypertension, include the following: 1. Type e.g. essential, secondary, etc....
Oct 28, 2016 | Medical billing basics
For services with dates of service prior to January 1, 2005, physicians must indicate that their services were provided in an incentive-eligible rural or urban HPSA by using one of the following modifiers: QB – physician providing a service in a rural HPSA; or...
Oct 24, 2016 | Medical billing basics
HPSA designations are made by the Health Resources and Services Administration’s (HRSA) Division of Shortage Designation (DSD). An automated file of areas eligible for the HPSA bonus payment will be updated on an annual basis and will be effective for services...
Oct 21, 2016 | Medical billing basics
procedure code and description 36561- Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older – average fee payment – $1250 – $1350 INSERTION OF CENTRAL VENOUS CATHETER 360.00...
Oct 20, 2016 | Medical billing basics
A. Payment for Professional Component (PC) Services Payment may be made under the physician fee schedule for the professional component of physician laboratory or physician pathology services furnished to hospital inpatients or outpatients by hospital physicians or by...
Oct 20, 2016 | Medical billing basics
procedure code and description 27130- Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft – average fee payment – $1510 -$1520 27445 Arthroplasty, knee, hinge prosthesis...