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Medical Cost Containment Program

12/17/2020
Administration Common Procedure Coding System HCPCS. Procedure codes used in Rule 30 were developed and copyrighted by the American Medical Association. 2. The most current edition of the Current Procedural Terminology CPT should be used for Rule 30 Guidelines. C. Procedures For Which

Category: Regulations

Kunz vs. Patterson Floor Coverings

12/17/2020
1810.00 check paid a U.S. Department of Labor report apparently to show that labor costs in Alpine's geographic area are high and some pages of CPT codes. Also Alpine presented the testimony of Steven F. Kanter M.D. a "managing principal" at Alpine. Dr. Kanter testified in substance that

Category: Cases

WCRI: Moderate Growth in Medical Payments Reverses Trend of Decreases Following Reforms

10/18/2019
office visits. In California the number was 14. WCRI also reported that about 58 of office visits in California billed for the two most complex types of visits CPT 99214 and CPT 99215. The median among the 18 study states was 35. Historically California had lower prices paid for office

Category: News

NortonJonathan

04/01/2011
office visits CPT Codes 171 99213 and 99212. Joint Exhibit 5 pp. 1-2 10-13 17. 18 19 20 21 22 23 24 25 26 27 Overall petitioner's billed charges totaled 21750.00. 4808.63 including the medical-legal evaluation. The charges allowed totaled The total amount billed 1500.00 for non

Category: Panel

Copies of Records and Reports

12/17/2020
. G. CPT Code 99080 is not to be used to complete required workers' compensation forms or to complete required documentation to substantiate medical necessity. CPT Code 99080 is not to be used for signing affidavits or certifying medical records forms. CPT Code 99080 is appropriate for billing of a

Category: Regulations

Copies of Records and Reports

12/17/2020
. G. CPT Code 99080 is not to be used to complete required workers' compensation forms or to complete required documentation to substantiate medical necessity. CPT Code 99080 is not to be used for signing affidavits or certifying medical records forms. CPT Code 99080 is appropriate for billing of a

Category: Regulations

KohlerDennis

07/01/2011
. As a preliminary matter the Commission strikes the following language on page five of the Arbitrator's decision "There are no CPT codes associated with the unpaid balances shown on the Castle Orthopaedics and Castle Surgicenter bills as required by sec. 8.2 of the Act." Section 8.2 sets forth no

Category: Panel

MI 2004 Health Care Services Rules Eff 2/20/04

02/19/2004
The Michigan Workers' Compensation Agency has issued notice that the 2004 Health Care Services Rules filed with the office of the Secretary of State on 2122004 are effective February 20 2004. The table below lists the rules that were changed this year. For 2004 CPTR has deleted

Category: News

Re: CPT Discounts in Med-Legal Evaluations (California)

03/09/2012
clearly made in the Newsline note but that is what the Medical Unit told me. This deduction happens from time to time on CPT 96100 billed as part of the QME eval when I also happen to be on the MPN. Usually amounts to about a 100.00 or less deduction so I live with it.

Category: Forums

Re: Consultations (California)

04/14/2013
for services using CPT 99021-99025 initial visit new patient rather than CPT 99241-99245 consultations. JCB

Category: Forums

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