We’re here to help health care providers stay compliant with Medicare regulations. Find helpful information about Aetna Medicare Advantage plans, compliance and attestation requirements, training and more.
This information does not constitute billing advice; providers should always consult their own billing or revenue cycle management experts for confirmation of proper billing procedures. **Only physicians, NPs and PAs can bill to these codes; physician assistants can make hospice ...
Another 11.2% of the cost would be met by cutting payments to health providers such as physicians and hospitals. Approximately 20% of the financing is sought by tapping sources that are unavailable for various reasons, for example because she has already committed that funding to other priorities...
Comparing Hospice Providers All hospice organizations are reimbursed in the same way, so they do not compete on cost. It is the quality of service that differentiates one hospice from another. Consider these questions when choosing a hospice: Does the hospice provider have the resources and fac...
While billing for Medicare append modifier –TS (Follow-up service) when patients meet the pre-diabetes definition. Medicare pays to order providers’ and Durable Medical Equipment (DME) suppliers’ DME claims when they’re actively enrolled in Medicare on the service date or, in the case of ...
" said Allen W. Hill, CEO of VisionCare. "The new code will provide a payment mechanism for the telescope implant for Medicare beneficiaries visually debilitated by end-stage AMD. We are training providers and working with the ophthalmic community so that eligible patient...
(s) with modifier -55 appended instead of reporting E/M follow-up codes, regardless of whether a formal transfer of care is included in the patient record. Medicare acknowledges that communication and billing are problems. However, we did not see an acknowledgment for those physicians providing ...
These bundled activities include reviewing the patient’s medical record, documenting the visit, speaking with family members, and coordination of care with other health care providers. We calculated physicians’ hourly revenue for each of these services by multiplying the number of services performed ...
Protect licensure for everyone who has sufficient training in acupuncture, which includes teaching that all health providers have a duty to limit their practice to their own training and experience. Requiring all Acupuncturists to have additional training in herbs, or any other specific, optional, mo...
Because ICD-10-CM codes are used for billing (rather than diagnostic) purposes, specific codes may not be sensitive nor specific to dementia, and coding practices may differ systematically by health care practice, patient characteristics, and geography. We examined how choices of ICD-10-...