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...
May 30, 2012 | Medical billing basics
Hospice Care TRICARE has adopted most of the provisions currently set out in Medicare’s hospice coverage benefit guidelines, reimbursement methodologies, and certification criteria for participation in the hospice program. The hospice benefit is designed to provide...
May 26, 2012 | Medical billing basics
TRICARE covers outpatient services such as: • Routine office visits• Outpatient office-based medical and ambulatory (same-day) surgical care • Consultation, diagnosis, and treatment by a...
May 23, 2012 | Medical billing basics
The TRICARE Extended Care Health Option (ECHO) provides financial assistance to ADFMs who qualify based on specific mental or physical disabilities and offers beneficiaries an integrated set of services and supplies beyond the basic TRICARE programs—TRICARE Prime,...
May 18, 2012 | Medical billing basics
TRICARE Standard and TRICARE Extra TRICARE Standard is a fee-for-service option that allows beneficiaries to seek care from any TRICARE-authorized non-network provider. TRICARE Extra is a preferred provider option that allows beneficiaries to reduce...
May 14, 2012 | Medical billing basics
TRICARE Provider Types TRICARE defines a provider as a person, business, or institution that provides or gives health care. For example, doctors are individual providers, hospitals are institutional providers, and ambulance companies are corporate providers. There are...
May 8, 2012 | Medical billing basics
TRICARE is the uniformed services* health care program for active duty service members and their families, retired service members and their dependents, members of the National Guard and Reserve and their families, survivors, and others who are eligible....
