ICD-9 code 087 for Relapsing fever is a medical classification as listed by WHO under the range -RICKETTSIOSES AND OTHER ARTHROPOD-BORNE DISEASES (080-088).
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The Medicare fee schedule is based on the RBRVS (Resource-Based Relative Value Scale). Every CPT code has a RVU (relative value unit) that is a measure of how much work goes into it (in the simplest ... [ Read More ]
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I am having a very hard time figuring out a correct payment on a DME code based on a conversion factor and RBRVS. Here's what I have so far...
My contract is with a private insurance com... [ Read More ]
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
Billing and prescribing activities prone to improper Medicare Part B payments. The Centers for Medicare 38 Medicaid Services CMS initiated the Comparative Billing Report CBR program in 2010 to evaluat... [ Read More ]
Healthcare provider pays for billing Medicare before services were fully performed. In U.S. ex rel. Montcrieff v. Peripheral Vascular Associates 2023 WL 139319 W.D. Tex. 2023 the court indicated it wi... [ Read More ]
But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicares Outpatient Prospective Payment System OPPS in the J... [ Read More ]
April is upon us. And for those who code and bill for products and services provided in the Ambulatory Surgical Center ASC setting its time to familiarize yourself with the quarterly updates to the AS... [ Read More ]