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Re: New CPT / Procedure Code Fees (California)

03/12/2014
Thanks. But has anyone determined how to calculate OMFS fee for 90834 or is it now really based on Medicare v. Medical rates

Category: Forums

Reimbursement Procedures.

12/18/2020
itemized list of each service; b The diagnosis relative to each service; c The medical records related to the service being billed; d The appropriate CPTHCPCS code with CPT modifiers if any for each service; e The date of each service; f The specific fee charged for each service

Category: Regulations

Reimbursement Procedures.

12/18/2020
itemized list of each service; b The diagnosis relative to each service; c The medical records related to the service being billed; d The appropriate CPTHCPCS code with CPT modifiers if any for each service; e The date of each service; f The specific fee charged for each service

Category: Regulations

Therapists Worried that G- Codes Could Cause Payment Problems

06/25/2013
By John P. Kamin Reporter Providers and payers are worried that the Centers for Medicare and Medicaid Services' call to use new billing codes could disrupt electronic billing systems in the Texas workers' compensation system and delay payments to physical and occupational therapists. Since the

Category: News

DEFINITIONS.

12/18/2020
fee. 34 Healthcare Finance Administration Common Procedure Coding System HCPCS or most current revision - Includes CPT-4 descriptive terms and numeric identifying codes and modifiers for reporting medical services and procedures and other materials contained in the CPT-4. HCPCS is

Category: Regulations

DEFINITIONS.

12/18/2020
fee. 34 Healthcare Finance Administration Common Procedure Coding System HCPCS or most current revision - Includes CPT-4 descriptive terms and numeric identifying codes and modifiers for reporting medical services and procedures and other materials contained in the CPT-4. HCPCS is

Category: Regulations

RBRVS and Calif. Workers' Comp is Like Mixing Oil and Water

05/06/2014
of how RBRVS discriminates against a PTP. Putting aside the doctor’s time related to the treatment RBRVS assigns the Practice Expense for doing an X-ray of the hand CPT 73120 a relative value of 0.66 of a unit. The Practice Expense for an annual physical CPT G0438 is 2.43 units. The

Category: Industry Insights

Calculation of the Maximum Reimbursement Allowable.

12/18/2020
for the year Maryland for the state Baltimore and Surrounding Counties for the locality the applicable CPT code and any CPT modifier; 2 The MRA is calculated by multiplying the MRR by 109 percent; and 3 For anesthesiology services the MRA is calculated by adding the Time Units and Base

Category: Regulations

Calculation of the Maximum Reimbursement Allowable.

12/18/2020
for the year Maryland for the state Baltimore and Surrounding Counties for the locality the applicable CPT code and any CPT modifier; 2 The MRA is calculated by multiplying the MRR by 109 percent; and 3 For anesthesiology services the MRA is calculated by adding the Time Units and Base

Category: Regulations

Division Adopts Updated Reimbursement Rule

11/08/2006
WCAPPS CPTCPT_Agree7.asp. Source Florida Division of Workers' Compensation

Category: News

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