ITEMS IN FPM ON TOPIC:

Medicare

Apr 2003 Issue
Anatomy of the Medicare Appeals Process [Getting Paid]

The law has made significant structural and procedural changes in the Medicare appeals process. This article outlines those changes.


Mar 2003 Issue
Defining "Confined to the Home" [Getting Paid]

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).


Nov-Dec 2002 Issue
Another Ounce of Prevention [Getting Paid]

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.


Sep 2002 Issue
Using Advance Beneficiary Notices to Maximize Your Medicare Collections [Getting Paid]

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."


Jun 2002 Issue
New Medicare Payment Opportunities [Getting Paid]

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.


Nov-Dec 2001 Issue
The Ins and Outs of "Incident-To" Reimbursement [Feature]

This article describes the key points of Medicare's incident-to rules as they apply to family physicians.


Nov-Dec 2001 Issue
Four Medicare Myths Exposed [Getting Paid]

The author explains the truth behind several popular misconceptions that physicians and patients have about the Medicare program.


Sep 2001 Issue
Medicare Clarifies Preoperative Services Reimbursement Policy [Getting Paid]

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.


Jul-Aug 2001 Issue
When All Else Fails, Contact Your HCFA Regional Office [Getting Paid]

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.


Jun 2001 Issue
Medicare Expands Preventive Screening Benefits [Getting Paid]

Starting on July 1, 2001, Medicare coverage of preventive medicine services will be expanded to include biennial screening pap smears and pelvic exams (currently, coverage is limited to once every three years) and coverage for screening colonoscopies for all beneficiaries (currently only individuals at high risk receive this coverage). The article explains what physicians need to know to get reimbursed for these services.


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