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e-billing dispensed meds and e-billing regulations (Californ

01/23/2014
Our office has a problem concerning the new fee schedule RBRVS and the e-billing regulationsstandards in the x12 ANSI 5010 guide or the ASC X12N005010X222 HEALTH CARE CLAIM PROFESSIONAL 837. The guide states that Loop 2400 reference SV101-1 product or service ID Qualifier that a CPT code or

Category: Forums

Statement of Purpose.

12/17/2020
as modified herein the 2008 edition of the Relative Values for Physicians RVP developed by Relative Value Studies Inc. published by Ingenixa St. Anthony Publishing the Current Procedural Terminology CPT 2008 Professional Edition published by the American Medical Association AMA and

Category: Regulations

Statement of Purpose.

12/17/2020
as modified herein the 2008 edition of the Relative Values for Physicians RVP developed by Relative Value Studies Inc. published by Ingenixa St. Anthony Publishing the Current Procedural Terminology CPT 2008 Professional Edition published by the American Medical Association AMA and

Category: Regulations

Anesthesia.

12/17/2020
A. The maximum allowable amount for the CPT code series 00100-01999 which is specific to the field of anesthesia shall be determined by including a monetary conversion factor of 44.94 which shall be multiplied by the basic unit values time units and any physical status andor qualifying

Category: Regulations

Anesthesia.

12/17/2020
A. The maximum allowable amount for the CPT code series 00100-01999 which is specific to the field of anesthesia shall be determined by including a monetary conversion factor of 44.94 which shall be multiplied by the basic unit values time units and any physical status andor qualifying

Category: Regulations

California Specific Modifier

12/18/2020
The following modifier is to be appended to the applicable CPT Code or California Specific code in addition to any applicable CPT modifier.

Category: Regulations

Anesthesia - Multiple Anesthesia Procedures

12/18/2020
multiple procedure modifier “-51.” The total time for all procedures shall be reported in the line item with the highest base unit value.   b If the same anesthesia CPT code applies to

Category: Regulations

Andrew Concors

03/30/2012

Category: Profile

David Sofer

05/07/2015

Category: Profile

TWCC Clarifies Billing & Reimbursement for MMI & IR

03/30/2004
determine the IR by only reading the CPT code. The insurance carrier carrier must read the report describing the calculation of the IR in order to determine which method was used to assign the IR and to reimburse the health care providers appropriately. If a treating doctor determines that no permanent

Category: News

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