ITEMS IN FPM ON TOPIC:
Diagnostic testing is an increasingly important clinical and financial adjunct to family practice. This article examines how to provide and bill for these services while avoiding false claims liability, Stark violations and breach of the reassignment rules.
The law has made significant structural and procedural changes in the Medicare appeals process. This article outlines those changes.
The author explains recent guidance from Medicare regarding how to determine whether a patient meets Medicare's definition of "confined to the home" (i.e., homebound).
A summary of the clinical preventive services Medicare covers and the circumstances under which they're covered as well guidance about how to get paid for them.
The author explains how to use Medicare's Advance Beneficiary Notice (ABN) rules, which permit physicians to bill Medicare patients when Medicare will not pay because a service is found to be "not medically necessary."
On April 1, 2002, ambulatory blood pressure monitoring (ABPM) became a Medicare-covered service. Effective January 1, 2002, Congress extended Medicare coverage for MNT to beneficiaries with diabetes or a renal disease. The author explains how to take advantage of these new payment opportunities.
This article describes the key points of Medicare's incident-to rules as they apply to family physicians.
The author explains the truth behind several popular misconceptions that physicians and patients have about the Medicare program.
The author explains instructions recently issue by the Centers for Medicare and Medicaid Services about how to code for preoperative medical evaluations performed by family physicians at the request of surgeons outside the Medicare global surgical period.
The author explains how readers can work with the Health Care Financing Administration (HCFA) regional office in their area to resolve problems they have with their Medicare carriers.