Jul 8, 2012 | Medical billing basics
MEDICARE PHYSICIAN FEE SCHEDULE Medicare Part B pays for physician services based on the MPFS, which lists the more than 7,000 covered services and their payment rates. Physician services include the following: Office visits; Surgical procedures; and A range of other...
Jun 21, 2012 | Medical billing basics
The following guidelines will help expedite your referral and authorization requests: • Submit an online request or, if that option is not available to you, use the TRICARE Patient Referral/Authorization Form for any TRICARE Prime beneficiary...
Jun 16, 2012 | Medical billing basics
CPT Code Description Supervised ModalitiesThe application of a modality that does not...
Jun 12, 2012 | Medical billing basics
CMT is a form of manual treatment to influence joint and neurophysiological function. When similar or identical procedures are performed, but are qualified by an increased level of complexity: Only the definitive or most comprehensive service performed should be...
Jun 9, 2012 | Medical billing basics
Beneficiaries Using Medicare and TRICARE Beneficiaries using Medicare as their primary payer are not required to obtain referrals or prior authorization from TriWest for inpatient or outpatient behavioral health care services. These beneficiaries should follow...
Jun 3, 2012 | Medical billing basics
Beneficiaries Using TRICARE Standard and TRICARE Extra, TRICARE Reserve Select, or TRICARE Retired Reserve Beneficiaries using TRICARE Standard and TRICARE Extra, TRS, or TRICARE Retired Reserve (TRR) generally do not need referrals and can receive their first eight...
