Medicare maximum allowable unit for Drug

Posted by:  :  Category: Medicare

Guideline Q: We are a solo practice looking for alternate sources of revenue. A semi-retired anesthesiologist has expressed interest in coming into our office weekly to do lumbar epidural steroid injections (ESIs). This seems like a good move for us since we refer out about 10 patients a week for these procedures. He will be performing only straightforward lumbar ESIs. How would we code for his services? A: For the lumbar ESI itself you would bill CPT 62311, injection, single (not via indwelling catheter), not including neurolytic substance, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; lumbar, sacral (caudal). Depo-medrol comes in 20mg (J1020), 30mg (J1030), and 80 mg (J1040) vials. Other supplies used are generally included in the RVUs for the procedure and not billed separately.
Source: medicarepaymentandreimbursement.com

Dental Blue® Indemnity Plan

Posted by:  :  Category: Medicare

Filing Claims Participating dentists send claims to Blue Cross Blue Shield of Massachusetts for you; just show them your Dental Blue ID card. We will send payment directly to your dentist, if we receive claims within one year of completed service.
Source: bluecrossma.com

St. Louis Children’s Hospital Physicians

Posted by:  :  Category: Medicare

Doctors listed in the referral directory are active on the medical staff of BJC HealthCare hospitals. These doctors make no payment to be in the referral directory, and the selection is based on your needs and preferences.
Source: stlouischildrens.org

Genesis Medical Associates, Inc.

At Genesis Medical Associates, Inc., our primary care physicians are concerned not only about your health but also about your well-being. As part of the Genesis family, you will experience dedicated care that emphasizes health promotion, disease prevention, patient education and verifiable quality of treatment. Genesis physicians are able to provide primary care to families because they understand family responsibilities and family relationships. In addition, through listening and caring, they provide treatment to the whole person. Our offices are conveniently located throughout the Northern Suburbs of Pittsburgh. We invite you to tour our web site and discover the ongoing and sustainable tradition of quality care.
Source: genesismedical.org

Arizona Department of Insurance

Posted by:  :  Category: Medicare

As has been reported on our website and on healthcare.gov, Arizona’s rates for Obamacare-compliant health insurance for plan year 2017 are increasing significantly. First, I want to say that I am sorry that your rates have increased so substantially. While the Department’s role in rate review is limited, I want to acknowledge your frustration with the rising health insurance costs. It is a difficult time for the Arizona health insurance market and the 2017 plan year will be extremely challenging….
Source: az.gov

BCBS Medicare Advantage Plans

Posted by:  :  Category: Medicare

This insurance carrier understands the importance of Medicare, and they’ve gone to great lengths to ensure its continued success among beneficiaries. This is vital, as research suggests that the country’s senior citizen population of number of senior citizens will grow to 90 million by 2050, adding to the demand for healthcare services. In addition, over a 20-year period, a 65-year-old couple’s average total medical expenses will be $218,000, in addition to what Medicare already covers. As such, in April 2015, the carrier announced the launch of a private health insurance exchange, designed to assist Medicare-eligible retirees with the switch from group health benefits to individual Medicare Advantage coverage, including MA, Part D and Medigap plans.
Source: medicare.net

Horizon BCBS Medicare Supplemental Plans for New Jersey

Horizon Blue Cross Blue Shield of New Jersey is licensed with the New Jersey State Board of Insurance to sell Medicare Supplement (Medigap) policies to seniors with Medicare Benefits in New Jersey. With an affordable monthly premium, Medicare Supplemental insurance plans provide senior’s with coverage of the parts of hospital and doctor bills that are not covered by your Original Medicare Benefits. Horizon BCBS has provided Medicare Supplemental Health Insurance in New Jersey for The carrier offers a range of standardized plans (see below). years and offers a range of Medigap plans for New Jersey seniors. See plans offered below.
Source: medicarebenefits.us

Medicare.gov: the official U.S. government site for Medicare

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The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medcare Equipment Company

is a Home Medical Equipment (HME) and Medical Supply Company with over 20 years of experience in the Home Healthcare industry. MedCare is licensed by the Commonwealth of Pennsylvania, and is an accredited organization.
Source: medcareequipment.com

Pediatric Physical Therapy in Houston, Pasadena, Katy, and Other Areas

Take the first step in improving your child’s quality of life. We provide our services to clients in the greater Houston Northshore, Texas area or in one of our outpatient clinics located in Stafford, Katy, Spring, Houston Northshore and Pasadena. If you think your child could benefit from therapy or nursing, or to learn more about our services, please contact us! You may also fill out our referral form and let us know how we can help you. We will help you get the services your child needs efficiently and professionally, with help every step of the way.
Source: medcarepediatric.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. [Benefits, premiums and/or member cost-share] may change on January 1 of each year. The [Formulary, pharmacy network, and/or provider network] may change at any time. You will receive notice when necessary.
Source: medicare.com

Australian Government Department of Human Services

This information was printed Wednesday 15 March 2017 from humanservices.gov.au/ It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.
Source: gov.au

How to file a complaint (grievance)

Posted by:  :  Category: Medicare

A complaint is about the quality of care you got or are getting. For example, you may file a complaint if you have a problem calling the plan or if you’re unhappy with how a staff person at the plan has treated you. However, if you have an issue with a plan’s refusal to cover a service, supply, or prescription, you file an appeal.
Source: medicare.gov

Help filing claims (98940, 98941, 98942) for chiropractic medicare from Dr. Gary Street

The purpose of this website is to bring to the Chiropractic Profession the correct and honest procedure in dealing and filing claims for Chiropractic Medicare. Every Doctor of Chiropractic who has any patient over the age of 65 is mandated, by federal law, to produce and bill Medicare for the chiropractic adjustment. (98940, 98941 or 98942) Doctors of Chiropractic and office staff carry heavy responsibility, by federal law, to know the rules and regulations that chiropractors must follow, especially in Medicare. There are NO set limits in Medicare for the chiropractic adjustment. The Doctor of Chiropractic must demonstrate two requirements to satisfy the Medicare guidelines so there are no limits for the number of adjustments you or your patients will be reimbursed.
Source: chiropracticmedicare.com

Find & compare doctors, hospitals, & other providers

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Private Contracts Between Doctors and Medicare Patients: Key Questions and Implications of Proposed Policy Changes

Additionally, there is the concern that with the expansion of private contracting, some beneficiaries could lose access to affordable services, rather than gain it, particularly for less common physician specialties, such as oncology or certain surgical specialties, and in certain areas of the country, including rural communities, where patients may already have relatively few doctors available.  In these cases, Medicare patients may feel that they have no choice but to agree to the terms of physicians’ contracts, even if the higher fees are unaffordable. This could be an issue for patients looking for new doctors as well as for patients wanting to keep their current doctors.  Along those lines, a potential risk arises for patients in having doctors and other practitioners make a judgment as to which of their Medicare patients can afford higher (privately contracted) fees, and by how much. While proponents suggest that doctors have a sense of their patients’ ability to pay higher fees, and will privately contract only with their higher income patients, critics have noted concern that physicians are not well positioned to assess their patients’ financial situation, putting their patients in a difficult position of having to disclose their finances or discontinue care with that doctor.
Source: kff.org

New Medicare Regs Will Pay Doctors for Better Care

Dr. Paul Tatum, an associate professor of clinical family and community medicine at the University of Missouri School of Medicine recently scheduled a half hour for a patient in his mid-70s with high blood pressure, kidney disease, skin issues and cognitive impairment. But the visit ran to 90 minutes when it became clear the gentleman was more confused than ever, falling, not eating well, not taking medications, and needed more help.
Source: nbcnews.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Find and compare information about Hospitals

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Plans for Different Needs

When it comes to Medicare, one size definitely does not fit all. What works for your neighbor may not be the best bet for you. Which is why it’s great to have choices. To find plans that may be a good fit for you, enter your ZIP code in the field below and click the "Find plans" button.
Source: uhcmedicaresolutions.com

Australian Government Department of Human Services

This information was printed Wednesday 15 March 2017 from humanservices.gov.au/ It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.
Source: gov.au

Not Just Obamacare: Medicaid, Medicare Also On GOP’s Chopping Block

That would reduce spending on Medicare, which Ryan always says is a goal, and some seniors would likely end up saving money, because they could easily switch to cheaper plans. The question would be what happens to everybody else. Without adequate regulation of benefits and other safeguards tailored to the special needs of an older, frequently impaired population of seniors, the consequence of moving to premium support could be higher costs for individual seniors who have serious health problems ― with low-income seniors feeling it most intensely.
Source: huffingtonpost.com