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Medicare Reimbursement

Thread starter janetsullivan
Start date Today at 8:30 AM

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janetsullivan

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Today at 8:30 AM

Hello,

Provider bills CPT code 42815 (Status Indicator J1) TOB 131, line item billed charges $5285.00. Medicare allowed is $6311.06. Does Medicare reimburse the provider (hospital) greater than billed charges (the Medicare allowed)?

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