Apr 12, 2012 | Medical billing basics
Concurrent Care Concurrent care exists where more than one physician renders services more extensive than consultative services during a period of time. The reasonable and necessary services of each physician rendering concurrent care could be covered where each is...
Apr 9, 2012 | Medical billing basics
Physician Services General Physician services are the professional services performed by a physician or physicians for a patient including diagnosis, therapy, surgery, consultation, and care plan oversight. The physician must render the service for the service to...
Apr 2, 2012 | Medical billing basics
The supplementary medical insurance plan covers expenses incurred for the following medical and other health services under Part B of Medicare: • Physician’s services, including surgery, consultation, office and institutional calls, and services and supplies furnished...
Mar 28, 2012 | Medical billing basics
Benefit Period— The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you go to a hospital or skilled nursing facility. The benefit period ends when you haven’t received any...
Mar 24, 2012 | Medical billing basics
What Medigap policies don’t cover Medigap policies don’t cover long-term care (like care in a nursing home), vision or dental care, hearing aids, eyeglasses, and private-duty nursing. Types of coverage that are NOT Medigap policies • Medicare Advantage Plans (Part C),...
Mar 21, 2012 | Medical billing basics
What is a Medigap policy? A Medigap (also called “Medicare Supplement Insurance”) policy is private health insurance that is designed to supplement Original Medicare. Th is means it helps pay some of the health care costs (“gaps”) that Original Medicare doesn’t cover...