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Psychologist Says Test, Psychotherapy Could Save Long-Term Costs
03/07/2008
activity decreasing pain behavior making pain predictable reducing the need for pain medication and increasing independent self-management of pain Babick said.
Such intervention is recognized in the Official Disability Guidelines and health and behavior current procedural terminology CPT codes he
Category: News
Proposed Rules on Repackaged Drugs Moving Forward
08/29/2012
billed using an unlisted or "not otherwise specified code" and the charge exceeds 35 then an invoice shall be included with the bill.
The proposed rules also update references to CPT Current Procedural Terminology codes used by the Center for Medicare and Medicaid Services and the American Medical
Category: News
Outpatient Fee Schedule Lawsuit Results in Discovery Dispute
09/14/2012
averaging charges by line-level Current Procedural Terminology CPT codes across different geographic regions of Florida that Medicare defines. The charges would be drawn from billing data covering the period between Jan. 1 2009 and June 30 2010 that carriers supply.
The FHA contends in its lawsuit
Category: News
Appeal to Determine if Outpatient Services Bound by Fee Schedule
10/15/2012
outpatient litigation because hospitals are misusing the classification of outpatient for services that are clearly covered under the CPT Current Procedural Technology codes in the Louisiana Reimbursement Schedule" workers' compensation defense attorney Denis Juge told WorkCompCentral in an email
Category: News
Hospital Drops Outpatient Payment Appeal, Legislation Eyed
01/09/2013
questions.
Metairie workers compensation defense attorney Denis Juge told WorkCompCentral he was disappointed that the case did not proceed to resolving the payment issue. Juge said hospitals are misusing the outpatient classification for services that are clearly covered under the CPT Current
Category: News
Outpatient Charges Would Decrease, ASC Payments Rise Slightly
11/18/2016
overalls medical expenses a summary of the proposed rule states.
The new rules also would add total hip and knee replacements CPT Codes 27130 and 27447 to the procedures eligible for hospital outpatient settings and would pay a Medicare base rate of 9491 for each.
The outpatient fee schedule was
Category: News
Under Settlement, Telemedicine Doc to Stop Treating Injured Workers
06/07/2017
carrier or claimants attorney.
DFS identified 13 claims in which Gerson allegedly billed insurance carriers for the telemedicine visits without preauthorization. A typical visit was billed for two common procedural terminology or CPT codes at approximately 80 each.
DFS issued a notice of intent
Category: News
Proposed $102M Hike in Medical Fees on the Table Until Next Legislative Session
06/16/2017
CPT codes. If a procedure is not listed in the manual the reimbursement rate is 70 of charges for the primary procedure code or an agreed-upon contract price.
For hospitals scheduled outpatient surgeries are paid at 60 of usual and customary charges or an agreed-upon contract price while
Category: News
New Fee Schedule Raises Reimbursement 5%, but Details Aren't Released
06/07/2018
OptumInsight.
Optum's website lists only some fee schedules from previous years available for 25 to 85 for a printed copy. A spokesperson for the board said that the fee schedules and current procedural terminology CPT codes would be posted on the board's website along with an announcement.
If the
Category: News
Connecticut Converts to RBRVS System
07/14/2008
system based on Medicare's Current Procedural Terminology CPT codes and an array of
Connecticut factors.
Mastropietro said the commission ensured that no fee for a provider's service will increase or decrease more than 9 from current levels.
He said the commission chose the threshold to ensure
Category: News
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