ITEMS IN FPM ON TOPIC:
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.
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.
The author explains a clarification of Medicare's definition of "homebound" and introduces readers to new HCPCS codes that must be used when certifying home health care.