Medicare Billing: Wheelchairs, Scooters, Lift Chairs at SpinLife

Posted by:  :  Category: Medicare

We understand that the process of submitting claims to Medicare can be difficult and time consuming. To help make the process easier, SpinLife offers what is known as “courtesy billing”. This means that after you purchase an eligible product from SpinLife and request at checkout that we courtesy bill Medicare, we send you all of the documentation required by Medicare for you to complete with your physician. Once medically qualifying documentation is submitted into SpinLife, we can submit a claim to Medicare on your behalf. If your claim is approved by Medicare, they will reimburse you directly for their portion of your claim via mail.
Source: spinlife.com

Medicare Coding & Billing

New Physical Therapy Evaluation and Reevaluation CPT Codes PTs must begin using 3 new evaluation codes and a new reevaluation code beginning January 1, 2017. Now is the time to become familiar with them.
Source: apta.org

Medicare, Medicaid and Medical Billing

When a Part A claim is processed by Medicare, Medicare pays the provider directly for the service rendered by the provider. On the other hand, in a Part B claim, who pays depends on who has accepted the assignment of the claim. If the provider accepts the assignment of the claim, Medicare pays the provider 80% of the cost of the procedure, and the remaining 20% of the cost is passed on to the patient. You should recognized that 80-20 breakdown: it’s a classic example of coinsurance.
Source: medicalbillingandcoding.org

PSA test billing under Medicare

Use the diagnosis code for the condition being treated. See Section 190.31 of the Medicare National Coverage Determinations (NCD) Coding and Policy Manual and Change Report for information on what conditions are considered medically and reasonably necessary.
Source: priorityhealth.com

Condition code 44 billing, Medicare

Under hospital Conditions of Participation (COPs), Medicare requires that all hospitals conduct utilization reviews (UR) to ensure that all UR requirements of 42 CFR 482.30 are met. The hospital UR committee reviews the case and, in consultation with the admitting or treating practitioner, determines whether or not the admission/a continued stays medically necessary. At that point, the admission may be changed from inpatient to outpatient status. A change to outpatient moves the patient to observation status.
Source: priorityhealth.com

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