Medicare Guideline posts
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list
Basics of Medicare part D
Part D – Prescription Drug Plan
The PDP provides prescription drug coverage to all beneficiaries who elect to enroll in a PDP or MA Plan that includes Part D.
Medicare beneficiaries may choose to join or leave a Medicare PDP during the following enrollment periods: The IEP for Part D is the 7-month period that surrounds the individual beneficiary’s first eligibility for Part D, beginning 3 months before the month of eligibility and ending on the last day of the third month following the month eligibility began. AEP, which occurs each year between November 15 and December 31. The Medicare PDP must accept all enrollments during this time. SEP, during which time beneficiaries in certain circumstances may change PDPs. The following are examples of such circumstances:
o He or she permanently moves outside the service area;
o He or she has both Medicare and Medicaid;
o He or she moves into, resides in, or moves out of an institution; or
o Other exceptions as determined by CMS.
Where to Find Additional Information About the Prescription Drug Plan
Additional information about the PDP can be found at
http://www.cms.hhs.gov/PrescriptionDrugCovGenIn on the CMS website.
An individual with Medicare and limited income and resources may qualify for extra help paying for Medicare prescription drug coverage costs. If the individual qualifies for extra help, he or she will receive assistance in paying for their drug plan’s monthly premium, yearly deductible, and prescription copayments. Applications for extra help may be filed at the local Medicaid office or by contacting the SSA.
Top Medicare billing tips
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
Flow Cytometry is a highly complex process by which blood, body fluids, bone marrow and tissue can be examined. It provides important immun...
Procedure code and description 93015 (cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ele...
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
CPT CODE and Description 90785 - Interactive complexity (List separately in addition to the code for primary procedure) 90791 - Psychi...
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 36416 Collection of capi...
procedure code and description 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOW...
Procedure code and description 95806 - Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory air...
Procedure code and description 95004 Percut Tests w/ Extrac Immed React # Allergy testing - Percut allergy skin tests - Percutaneous ...