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Calculating Medicare Fee Schedule Rates

calculating-medicare-fee-schedule-rates

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Medicare Part B pays for physician services based on the Medicare Physician Fee Schedule (PFS), which lists the […]

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U.S. Healthcare System Addressing COVID-19 Patient Surge

U.S. Healthcare System Addressing COVID-19 Patient Surge

Centers for Medicare & Medicaid Services (CMS) on 30th March 2020 issued an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. CMS sets and enforces essential quality and safety standards for the nation’s healthcare system, and […]

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Medicare Coverage for DSMT Benefit

Medicare Coverage for DSMT Benefit

The Centers for Medicare & Medicaid Services (CMS) provides reimbursement for Medicare beneficiaries for diabetes self-management training (DSMT), under certain conditions. Becoming familiar with the Medicare DSMT reimbursement guidelines can help increase a DSMES service’s financial sustainability. Medicare Part B (medical insurance for outpatient care, preventive services, Ambulance Billing Services, and durable medical equipment) covers […]

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Difference Between EMS and non-EMS Billing

Medical Billers and Coders: Difference Between EMS and Non-EMS Billing

  One may well question the need to be aware of the difference between Emergency and Non-Emergency Ambulance Transportation. But the need to know this is necessary when it affects billing, especially since Medicare has tightened rules about the usage of ambulance services, to combat financial fraud, and more so for three states Pennsylvania, New […]

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