Sunday, June 13, 2010

Checking the claim status and eligibilty - Patient

Visit MyMedicare.gov on the web to view the latest information on your claims. MyMedicare.gov is Medicare’s secure online service for accessing your personal Medicare information. For immediate access to your claims information, visit www.mymedicare.gov on the web to register for this site.
As a registered user of MyMedicare.gov, you can access your personalized information regarding your Medicare benefits and services. You can use MyMedicare.gov to:

• View claim status (excluding Part D claims)
• Order a duplicate Medicare Summary Notice (MSN) or replacement Medicare card.
• View eligibility, entitlement, and preventive services information
• View enrollment information including prescription drug plans
• View or modify your drug list and pharmacy information
•View address of record with Medicare and Part B deductible status
• Access online forms, publications, and messages sent to you by CMS
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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download