!"#$%&'"()*+"#,-)#../%/0,1+&&$,2.(3(
|
|
|
- Darlene Garrison
- 7 years ago
- Views:
Transcription
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help determine a beneficiary s cholesterol and other blood 83:3/&8#"#8-&-,4*&'-&)$3;8%4#$3/#-6&B7?&$#4+22#./-&)*')&'88& eligible beneficiaries take advantage of this coverage, which 4'.&/#)#$23.#&9*#)*#$&<#.#0343'$3#-&'$#&')&*3;*&$3-5&0+$& 4'$/3+"'-4,8'$&/3-#'-#6 Stand Alone Benefit I)& 3-& 32:+$)'.)& )+& #2:*'-3A#& )*')& )*#& cardiovascular screening benefit covered by 7#/34'$#&3-&'&-)'./&'8+.#&<388'<8#&-#$"34#& -#:'$')#&0$+2&)*#&I.3)3'8&G$#"#.)3"#&G*%-34'8&!C'23.')3+.&JIGG!K&'./&/+#-&.+)&*'"#&)+&<#& +<)'3.#/&93)*3.&'&4#$)'3.&)32#&0$'2#& ;& a beneficiary s Medicare Part B enrollment. Q*#&4'$/3+"'-4,8'$&-4$##.3.;&<8++/&)#-)-&4+"#$#/&<%&7#/34'$#&3.48,/#&)*#& ;R Q+)'8&B*+8#-)#$+8&Q#-) Q$3;8%4#$3/#-&Q#-) 64278,, The beneficiary must fast for 12 hours prior to testing. Other cardiovascular screening blood )#-)-&$#2'3.&.+.T4+"#$#/6 9%(:,;")3&#( Q*#&4+"#$';#&+0&4'$/3+"'-4,8'$&-4$##.3.;&<8++/&)#-)-&:$#-#.)-&'.&+::+$),.3)%&0+$&*#'8)*&4'$#&:$+0#--3+.'8-& to help Medicare beneficiaries learn if they have an increased risk of developing heart disease and how )*#%&4'.&4+.)$+8&)*#3$&4*+8#-)#$+8&8#"#8-&)*$+,;*&/3#)(&:*%-34'8&'4)3"3)%(&+$&30&.#4#--'$%&93)*&2#/34')3+.6& U*38#&'.%+.#&4'.&/#"#8+:&4'$/3+"'-4,8'$&/3-#'-#(&-+2#&0'4)+$-&)*')&2'%&:,)&3./3"3/,'8-&')&'&*3;*#$&$3-5& 3.48,/#&)*#& ;R B*+8#-)#$+8&Q#-)&0+$&=3;*&H#.-3)%&S3:+:$+)#3.- H3'<#)#- V'238%&*3-)+$%&+0&4'$/3+"'-4,8'$&/3-#'-# =3;*&0')&/3#) =3-)+$%&+0&:$#"3+,-&*#'$)&/3-#'-# =%:#$4*+8#-)#$+8#23'&J*3;*&4*+8#-)#$+8K =%:#$)#.-3+. S'45&+0&#C#$43-# <=
2 7#/34'$#&:$+"3/#-&4+"#$';#&+0&4'$/3+"'-4,8'$&-4$##.3.;& blood tests for all asymptomatic beneficiaries every 5 years J36#6(&')&8#'-)&PW&2+.)*-&'0)#$&)*#&8'-)&4+"#$#/&-4$##.3.;&)#-)-K6& The physician or qualified non-physician practitioner treating the beneficiary must order the screening blood tests for the :,$:+-#&+0&#'$8%&/#)#4)3+.&+0&4'$/3+"'-4,8'$&/3-#'-#6&Q*#& <#.#0343'$%&2,-)&*'"#&.+&'::'$#.)&-3;.-&+$&-%2:)+2-&+0& 4'$/3+"'-4,8'$&/3-#'-#6 7#/34'$#&:$+"3/#-&4+"#$';#&+0&4'$/3+"'-4,8'$&-4$##.3.;&<8++/& tests as a Part B benefit. The beneficiary will pay nothing for )*#&<8++/&)#-)-&J)*#$#&3-&.+&4+3.-,$'.4#&+$&4+:'%2#.)&'./&.+& deductible for this benefit). Who Are Qualified Physicians and Non-Physician Practitioners? Physician A physician is defined as a doctor of medicine +$&+-)#+:')*%6& Qualified Non-Physician Practitioner V+$&)*#&:,$:+-#&+0&)*#&4'$/3+"'-4,8'$&-4$##.3.;& blood test, a qualified non-physician practitioner 3-&'&:*%-343'.&'--3-)'.)(&.,$-#&:$'4)3)3+.#$(&+$& '8&.,$-#&-:#43'83-) , S'<+$')+$3#-&2,-)&+00#$&)*#&'<383)%&)+&+$/#$&'&83:3/&:'.#8&93)*+,)&)*#&8+9&/#.-3)%&83:+:$+)#3.&JSHSK& 2#'-,$#2#.)6&Q*#&0$#X,#.4%&8323)&0+$&#'4*&)#-)&'::83#-&$#;'$/8#--&+0&9*#)*#$&)#-)-&'$#&:$+"3/#/&3.& '&:'.#8&+$&3./3"3/,'88%6 A&)*@./3"3%&/ Medical record documentation must show that a physician or qualified non-physician practitioner treating an asymptomatic beneficiary for the purpose of early detection of cardiovascular disease ordered the screening tests. The beneficiary must have the test performed after a 12-hour fast, and the Medicare provider should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
3 !B2,!&$. YFZDP YM[EY YZZ[Y!&$.,A.()#%C3&# B*+8#-)#$+8(&-#$,2&+$&9*+8#&<8++/(&)+)'8&JV+$&*3;*&/#.-3)%&83:+:$+)#3.&=HS(&,-#&YM[EYK S3:+:$+)#3.(&/3$#4)&2#'-,$#2#.)\&*3;*&/#.-3)%&4*+8#-)#$+8&J=HS&4*+8#-)#$+8K Q$3;8%4#$3/# , Q*#&)#-)-&-*+,8/&<#&+$/#$#/&'-&'&83:3/&:'.#8\&*+9#"#$(&)*#%&2'%&<#&+$/#$#/&3./3"3/,'88%6 Medicare providers must report one or more of the following International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) screening ( V ) diagnosis code(s) for cardiovascular screening <8++/&)#-)-R 2"D+.,H,F,A%"0/&(%(,!&$.(,?&#,!"#$%&'"()*+"#,-)#../%/0,1+&&$,2.(3( >!AIJI!K,A%"0/&(%(,!&$. LMENO LMENE LMENH!&$.,A.()#%C3&#?:#43'8&-4$##.3.;&0+$&3-4*#234&*#'$)&/3-#'-#?:#43'8&-4$##.3.;&0+$&*%:#$)#.-3+. Special screening for other and unspecified cardiovascular conditions 1%++%/0,9.G*%#.@./3( 1%++%/0,"/$,!&$%/0,9.G*%#.@./3(,PQ./,-*D@%33%/0,!+"%@(,3&,!"##%.#(RS1,K.$%)"#., S$@%/%(3#"3%'.,!&/3#")3&#(,TS1,KS!(U U*#.& :*%-343'.-& './& X,'8303#/&.+.T:*%-343'.& practitioners are submitting claims to carriers/ab 71B-(&)*#%&2,-)&$#:+$)&)*#&'::$+:$3')#&BGQ&4+/#(& './&)*#&'::$+:$3')#&/3';.+-3-&4+/#&3.&)*#&=IG11&YM[& G$+0#--3+.'8#4)$+.34&48'32&0+$2') , In those cases where a supplier qualifies for '.& #C#2:)3+.& )+& )*#& 1?B1& $#X,3$#2#.)(& V+$2& B7?TEPLL& 2'%& <#&,-#/& )+& -,<23)& )*#-#&48'32-&+.&:':#$6&V+$2&B7?TEPLL&*'-& <##.&$#"3-#/&)+&'44+22+/')#&)*#&$#:+$)3.;& +0&)*#&_')3+.'8&G$+"3/#$&I/#.)303#$&J_GIK6& 188&7#/34'$#&:$+"3/#$-&2,-)&,-#&V+$2& B7?TEPLL&JLYTLPK&9*#.&-,<23))3.;&:':#$& 48'32-6& 1//3)3+.'8& 3.0+$2')3+.& +.& V+$2& Administrative Simplification Compliance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lectronicBillingEDITrans/08_HealthCareClaims. '-:&+.&)*#&B7?&9#<-3)#6 B7?TEPLL&4'.&<#&0+,./&')& )*#&B7?&9#<-3)#6 & BGQ&+.8%&4+:%$3;*)&FLLY&12#$34'.&7#/34'8&1--+43')3+.6&188&@3;*)-&@#-#$"#/6 +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1$!"
4 When submitting claims to FIs/AB MACs, the Medicare provider must report the appropriate CPT code, )*#&'::$+:$3')#&$#"#.,#&4+/#(&'./&)*#&'::$+:$3')#&/3';.+-3-&4+/#&3.&)*#&=IG11&YM[&I.-)3),)3+.'8#4)$+.34& 48'32&0+$2') , In those cases where an institution qualifies for an exception to the ASCA requirement, Form B7?TEZPL&2'%&<#&,-#/&)+&-,<23)&)*#-#&48'32-&+.&:':#$6&1-&+0&7'%&FM(&FLL[(&'88&7#/34'$#&:$+"3/#$-& must use Form CMS-1450 (UB-04) when submitting paper claims. Additional information on V+$2&B7?TEZPL&4'.&<#&0+,./&')& +.&)*#&B7?&9#<-3)#6 Types of Bills for FIs/AB MACs The FI/AB MAC will reimburse for the cardiovascular screening blood tests when submitted on the following Type of Bills (TOBs) listed in Table 3: Table 3 Facility Types and Types of Bills for Cardiovascular Screening Blood Tests Facility Type Hospital Inpatient Part B including Critical 144#--&=+-:3)'8&JB1=K Type of Bill EF] =+-:3)'8&N,):')3#.) =+-:3)'8&_+.T:')3#.)&S'<+$')+$%&?:#432#.-& 3.48,/3.;&B1= Skilled Nursing Facility (SNF) Inpatient Part B?_V&N,):')3#.) EM] EZ] FF] FM] B1= YP] 2Q.,(.#'%).,%(,)&'.#.$,5Q./,%3,%(,C.#?&#@.$,&/,"/,%/C"3%./3,&#,&*3C"3%./3,D"(%(,%/,",Q&(C%3"+V,!SWV, &#,-6;N -C.)%"+,1%++%/0,6&3. Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) may only bill for RHC or FQHC services; laboratory services are not within the scope of the RHC or FQHC benefit. However, if )*#&@=B&+$&V`=B&3-&:$+"3/#$T<'-#/(&'./&)*#&<'-#&:$+"3/#$&0,$.3-*#-&)*#&8'<&)#-)&':'$)&0$+2&)*#&@=B&+$& FQHC, then the base provider may bill the lab test using the base provider s provider ID number. Payment 9388&<#&2'/#&)+&)*#&<'-#&:$+"3/#$(&.+)&)*#&@=B&+$&V`=B6&I0&)*#&0'4383)%&3-&0$##-)'./3.;(&)*#.&)*#&3./3"3/,'8& practitioner bills the carrier/ab MAC for the lab test using the provider ID number.!#$ +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1
5 Medicare provides coverage of the cardiovascular screening blood tests as a Medicare Part B benefit. The beneficiary will pay nothing for the blood tests (there is no coinsurance or copayment and no Medicare Part B deductible for this benefit). Reimbursement of Claims by Carriers/AB Medicare Administrative Contractors (AB MACs) 7#/34'$#&:$+"3/#-&$#32<,$-#2#.)&0+$&)*#&4'$/3+"'-4,8'$&-4$##.3.;& <8++/&)#-)-&,./#$&)*#&7#/34'$#&B83.34'8&S'<+$')+$%&V##&?4*#/,8#(&9*#.& the Medicare provider bills the carrier/ab MAC. Reimbursement of Claims by Fiscal Intermediaries/AB K.$%)"#.,S$@%/%(3#"3%'.,!&/3#")3&#(,T;>(RS1,KS!(U 1//3)3+.'8&3.0+$2')3+.&'<+,)&)*#& B83.34'8&S'<+$')+$%&V##&?4*#/,8#& 4'.&<#&0+,./&')&*)):R^^ hhs.gov/clinicallabfeesched/01_ -#$"34#6&Q'<8#&Z&83-)-&)*#&)%:#&+0&:'%2#.)&)*')&0'4383)3#-&$#4#3"#&0+$&4'$/3+"'-4,8'$&-4$##.3.;&<8++/&)#-)-R Table 4 Facility Payment Methodology for Cardiovascular Screening Blood Tests If the Facility Is a B$3)34'8&144#--&=+-:3)'8&JB1=K =+-:3)'8?5388#/&_,$-3.;&V'4383)%&J?_VK Then Payment is Based On Reasonable Cost Basis& TB"%$,"3,EOEY,&?,3Q.%#,#."(&/"D+.,)&(3U B83.34'8&S'<+$')+$%&V##&?4*#/,8# B83.34'8&S'<+$')+$%&V##&?4*#/,8# NOTE: Maryland hospitals will be reimbursed for inpatient or outpatient services according to the Maryland State Cost Containment Plan. 9."(&/(,?&#,!+"%@,A./%"+ Q*#& ;&'$#&#C'2:8#-&+0&9*#.&7#/34'$#&2'%&/#.%& 4+"#$';#&+0&4'$/3+"'-4,8'$&-4$##.3.;&<8++/&)#-)-R The beneficiary received a covered lipid panel during the past five years. Q*#& <#.#0343'$%& $#4#3"#/& )*#& -'2#& 3./3"3/,'8& 4'$/3+"'-4,8'$&-4$##.3.;&<8++/&)#-)&/,$3.;&)*#&:'-)& five years. K.$%)"#.,!&/3#")3&#,!&/3")3,>/?&#@"3%&/ To obtain car r ier/a B M AC and FI /A B 71B&4+.)'4)&3.0+$2')3+.(&"3-3)&*)):R^^ **-6;+"^7S_G$+/,4)-^H+9.8+'/-^ B'88B#.)#$Q+88_,2H3$#4)+$%6A3:&+.&)*# B7?&9#<-3)#6 +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1$!$
6 7#/34'$#& :$+"3/#$-& 2'%& 03./& -:#43034& :'%2#.)& +.&:'%2#.)&'/a,-)2#.)-6&Q*#&2+-)&4,$$#.)&83-)3.;& +0&)*#-#&4+/#-&4'.&<#&0+,./&')&*)):R^^99969:4T#/36 Q+&+<)'3.&2+$#&3.0+$2')3+.&'<+,)&)*#&$#23))'.4#& MLNProducts/downloads/RA_Guide_Full_03- FFTLD6:/0&+.&)*#&B7?&9#<-3)#6 4+2^B+/#- on the Web. Additional information about claims can be obtained from the carrier/ab MAC or FI/AB MAC. Written Advance Beneficiary Notice of Noncoverage (ABN) Requirements Please refer to the Advance Beneficiary Notice of Noncoverage (ABN) Reference Section G of this publication.!%$ +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1
7 !"#$%&'"()*+"#,-)#../%/0,1+&&$,2.(3( Beneficiary Notices Initiative Website, *)):R^^ **-6;+"^7S_G$+/,4)-^H+9.8+'/-^B'88B#.)#$Q+88_,2H3$#4)+$%6A3: Blinical Laboratory Fee Schedule Information Final Rule, 42 CFR Parts 409, 410, et al: Revisions to Payment Policies under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the 7IB#.()#%D%/0,7Z.@C3%&/,?&#,!&@C*3.#,X./.#"3.$,;")(%@%+.,2#"/(@%((%&/(, 99&sortByDID=4&sortOrder=ascending&itemID=CMS &intNumPerPage=10 ;&#@,!K-IE<[O,>/?&#@"3%&/ ;&#@,!K-IE[OO,>/?&#@"3%&/, W."#3,A%(."(.,"/$,-3#&:.8,2Q.,6"3%&/\(,]."$%/0,^%++.#( K.$%)"#.,!+"%@(,B#&).((%/0,K"/*"+,F,B*DN,EOOIO<V,!Q"C3.#,EMV,-.)3%&/,EOO, *)):R^^ **-6;+"^2'.,'8-^/+9.8+'/-^482ELZ4EY6:/0 K.$%)"#.,;..I;&#I-.#'%).,B#&'%$.#(,P.D(%3., This site contains detailed provider-specific information, including information about the Clinical S'<+$')+$%&V##&?4*#/,8#6& *)):R^^ **-6;+"^4#.)#$^:$+"3/#$6'-: K.$%)"#.,]."#/%/0,6.35&#:,TK]6U, The Medicare Learning Network (MLN) is the brand name for official CMS educational products and 3.0+$2')3+.&0+$&7#/34'$#&0##T0+$T-#$"34#&:$+"3/#$-6&V+$&'//3)3+.'8&3.0+$2')3+.&"3-3)&)*#&7#/34'$#&S#'$.3.;& Network s web page at K.$%)"#.,B#.'./3%'.,-.#'%).(,X./.#"+,>/?&#@"3%&/ Beneficiary-related resources can be found in Reference F of this Guide. +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1$!&
8 K]6,B#.'./3%'.,-.#'%).(,7$*)"3%&/"+,9.(&*#).,P.D(%3. 6"3%&/"+,!&##.)3,!&$%/0,>/%3%"3%'.,7$%3(,P.D(%3. *)):R^^ **-6;+"^_')3+.'8B+$$#4)B+/I.3)!/ National Provider Identifier Information *)):R^^ **-6;+"^_')3+.'8G$+"I/#.)?)'./ Physician Information Resource for Medicare Website This site contains physician-specific information, including updates to policies, regulations, coding and 4+"#$';#&3.0+$2')3+.(&:$+;$'2&3.)#;$3)%&3.0+$2')3+.(&'./&+)*#$&"'8,'<8#&$#-+,$4#-6& *)):R^^ **-6;+"^4#.)#$^:*%-343'.6'-: _N-N,B#.'./3%'.,-.#'%).(,2"(:,;&#).,T_-B-2;U,X*%$.,3&,!+%/%)"+,B#.'./3%'.,-.#'%).(, Q*3-&9#<-3)#&:$+"3/#-&)*#&>?G?QV&9$3))#.&$#4+22#./')3+.-6& *)):R^^9996'*$X6;+"^483.34^4:-M/3C6*)2 Washington Publishing Company (WPC) Code Lists, UGB&'--3-)-&3.&)*#&2'3.)#.'.4#&'./&/3-)$3<,)3+.&+0&=IG11T$#8')#/&4+/#&83-)-&)*')&'$#&#C)#$.'8&)+&)*#&]EF& 0'238%&+0&-)'./'$/-6& *)):R^^99969:4T#/364+2^B+/#-, Beneficiary-related resources can be found in Reference F of this Guide. "'$ +,-(')/,1+&5,-$1+-##0'0%$65))($!#1!1
!"#$%&'()*+,-$..)/)0+1'$+ 23*'4/)%"+2'$#/-+2).($5&4&
!"#$%&'()*+,-$..)/)0+1'$+ 23*'4/)%"+2'$#/-+2).($5&4& 67.$7/.8!"#$"%&'()*#+)#$"#$,"-'*$.#,&./%#-'#0,$..--"+"/1#+"#23%#4$..#-5#$"#$'2%'(6#7-)2#$"%&'()*)#-88&'#+"#23%# $-'2$9#23%#*$+"#$'2%'(#23$2#8$''+%)#,.--:#5'-*#23%#3%$'2#2-#23%#'%)2#-5#23%#,-:(6#!"#$"%&'()*#23$2#-88&')#
!"#$%&%'()&*+'"(,+"''*-*.
/0'"0-'1!"#$%&%'()&*+'"(,+"''*-*.!"#$%&%'()&*)'"(+$(%,'($')#*-(.'&-+*/()&0$'(#1()&*)'"2"'.&%'-(-'&%,(+*(3'*(&*-(&4#0%(56(7'")'*%(#1(&..( -+&/*#$'-(7"#$%&%'()&*)'"$(&"'(1#0*-(+*(3'*(&/'(58(#"(#.-'"9 : (;'-+)&"'(7"#
The ABCs of the Initial Preventive Physical Exam and the Annual Wellness Visit. National Provider Call July 21, 2011
The ABCs of the Initial Preventive Physical Exam and the Annual Wellness Visit National Provider Call July 21, 2011 1 Today s Panel of Experts Jamie Hermansen Health Insurance Specialist Coverage & Analysis
Initial Preventive Physical Examination
Initial Preventive Physical Examination Overview The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expanded Medicare's coverage of preventive services. Central to the Centers
Medicare Preventive Services National Provider Call: The Initial Preventive Physical Exam and the Annual Wellness Visit.
Medicare Preventive Services National Provider Call: The Initial Preventive Physical Exam and the Annual Wellness Visit March 28, 2012 1 Today s Panel of Experts Jamie Hermansen Health Insurance Specialist
Injection, Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Supplemental Instructions Article (A47720) Contractor Information
Page 1 of 9 Deborah Rondeau From: Saved by Windows Internet Explorer 7 Sent: Saturday, August 23, 2008 7:42 PM Subject: FUTURE ARTICLE : Injection, Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal
Note: This article was updated on January 3, 2013, to reflect current Web addresses. All other information remains unchanged.
News Flash The Centers for Medicare & Medicaid Services (CMS) is listening and wants to hear from you about the services provided by your Medicare Fee-for-Service (FFS) contractor that processes and pays
Basic Rural Health Clinic Billing
Basic Rural Health Clinic Billing Charles A. James, Jr. President and CEO North American Healthcare Management Services Overview This presentation will discuss the basic elements of RHC billing. The following
Medicare Information for Advanced Practice Nurses and Physician Assistants. September 2010 / ICN: 901623
R Medicare Information for Advanced Practice Nurses and Physician Assistants September 2010 / ICN: 901623 This publication provides information about required qualifications, coverage criteria, billing,
Federally Qualified Health Center Billing (100)
1. As a federally qualified health center (FQHC) can we bill for a license medical social worker? The core practitioner must be a licensed or certified clinical social worker (CSW) in your state. Unless
Critical Access Hospital (CAH) and CAH Swingbed Questions and Answers
Critical Access Hospital (CAH) and CAH Swingbed Questions and Answers The following questions and answers are from the April 2012 CAH and CAH Swingbed web-based trainings: Q1. Is a non-covered/no pay bill
The International Statistical Classification of Disease and Related Health Problems, ICD- 10, is a medical classification system for coding of:
ICD-10-CMs OVERVIEW The International Statistical Classification of Disease and Related Health Problems, ICD- 10, is a medical classification system for coding of: Diseases Injuries Symptoms Procedures
Federally Qualified Health Center Billing and Coverage
Federally Qualified Health Center Billing and Coverage May 1, 2014 Today s Presenter Mimi Vier, CPC Provider Outreach and Education Consultant 2 Disclaimer National Government Services, Inc. has produced
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation JA6850
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation JA6850 Related CR Release Date: March 21, 2010 Revised Date Job Aid Revised: November 17, 2010 Effective Date: January 1, 2010 Implementation
Payment of Assistant at Surgery Services in a Method II Critical Access Hospital (CAH)
MLN Matters Number: MM6123 Related Change Request (CR) #: 6123 Related CR Release Date: October 24, 2008 Effective Date: January 1, 2008 Related CR Transmittal #: R1620CP Implementation Date: April 6,
The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers, and Other Health Care Professionals. May 2005
for Physicians, Providers, Suppliers, and Other Health Care Professionals May 2005 DISCLAIMER This Guide was prepared as a tool to assist providers and is not intended to grant rights or impose obligations.
About to Retire: Preparing for Medicare Patient Financial Services Agenda Medicare Enrollment Covered Services Medicare-covered covered Preventive Services Agenda, continued Advance Beneficiary Notice
THE BASICS OF RHC BILLING. Thursday, April 28, 2011 Presented by: Health Services Associates, Inc.
THE BASICS OF RHC BILLING Thursday, April 28, 2011 Presented by: Health Services Associates, Inc. TABLE OF CONTENTS Commercial and Self Pay billing Define RHC Medicaid Specified Medicare RHC billing guidelines
Quick Reference Information: Coverage and Billing Requirements for Medicare Ambulance Transports
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Quick Reference Information: Coverage and Billing Requirements for Medicare Ambulance Transports ICN 909008 August 2014
Federally Qualified Health Centers (FQHC) Billing 1163_0212
Federally Qualified Health Centers (FQHC) Billing 1163_0212 Today s Presenter Charles Wiley- Provider Outreach and Education Representative 2 Disclaimer has produced this material as an informational reference
Local Coverage Article: Venipuncture Necessitating Physician s Skill for Specimen Collection Supplemental Instructions Article (A50852)
Local Coverage Article: Venipuncture Necessitating Physician s Skill for Specimen Collection Supplemental Instructions Article (A50852) Contractor Information Contractor Name CGS Administrators, LLC Article
Routine Preventive Services. Covered by Medicare 2012
Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the
Place of Service (POS) and Date of Service (DOS) Instructions for Interpretation of Diagnostic Tests
News Flash Medicare will cover immunizations for H1N1 influenza also called the "swine flu." There will be no coinsurance or copayment applied to this benefit, and beneficiaries will not have to meet their
An Overview of Medicare Covered Diabetes Supplies and Services
News Flash - Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers, and Billers serves as a resource on how to read and understand a Remittance Advice (RA). Inside
University of Mississippi Medical Center. Access Management. Patient Access Specialists II
Financial Terminology in Access Management University of Mississippi Medical Center Access Management Patient Access Specialists II As a Patient Access Specialist You are the FIRST STAGE in the Revenue
1. ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES
1. ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES 1.1 ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES Welcome to the ICD-10-CM, Skilled Nursing Facilities, and Lab Services training. Please
EZ-CAP Claimshop Interface. Sanjay Goel. Manager, Software Development Daren DeBow Account / Sales Support Manager
EZ-CAP Claimshop Interface Sanjay Goel Manager, Software Development Daren DeBow Account / Sales Support Manager Welcome! What is Claimshop? Why use Claimshop? EZ-Steps on pricing and getting Edits via
More value Thank you for considering KPS You Need a Plan that Offers a Free Prescription Drug Discount Program
More value Thank you for considering KPS KPS Health Plans was established in Bremerton, Washington in 1946. We are a Washington state nonprofit health care service contractor offering preferred provider
Policy Limitations This policy applies to all places of service in accordance with the National POS code set.
Original Effective Date: January 1, 2013 Revision Date: February 1, 2014 PROFESSIONAL EVALUATION AND MANAGEMENT SERVICES Policy NHP reimburses participating providers for the provision of medically necessary
Note: This article was updated on October 1, 2012, to reflect current Web addresses. All other information remains unchanged.
Related Change Request (CR) #: 3444 Related CR Release Date: September 10, 2004 Effective Date: N/A Related CR Transmittal #: R299CP Implementation Date: N/A Note: This article was updated on October 1,
ZEPHYRLIFE REMOTE PATIENT MONITORING REIMBURSEMENT REFERENCE GUIDE
ZEPHYRLIFE REMOTE PATIENT MONITORING REIMBURSEMENT REFERENCE GUIDE Overview This guide includes an overview of Medicare reimbursement methodologies and potential coding options for the use of select remote
Deborah Rondeau. NY Part B
Page 1 of 8 Deborah Rondeau From: Saved by Windows Internet Explorer 7 Sent: Saturday, August 23, 2008 7:22 PM Subject: NGS Article for Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and
Policy Limitations This policy applies to all places of service in accordance with the National POS code set.
Original Effective Date: January 1, 2013 Revision Date: August 1, 2013 PROFESSIONAL EVALUATION AND MANAGEMENT SERVICES Policy NHP reimburses participating providers for the provision of medically necessary
2/12/13 1. Iowa Primary Care Association Coding Training Webinar #5. The Medicare Program. General Health Center/FQHC Billing attention Guidelines
acumen Iowa Primary Care Association Coding Training Webinar #5 insight ideas General Health Center/FQHC Billing attention Guidelines reach expertise February 12, 2013 (11:30 1:30 CST) depth Presented
Incident To Services Documentation and Correct Billing July 23 2013 Presented by: Ellen Berra, Outreach Senior Analyst Karen Kroupa, Outreach Analyst
Incident To Services Documentation and Correct Billing July 23 2013 Presented by: Ellen Berra, Outreach Senior Analyst Karen Kroupa, Outreach Analyst Agenda Overview Documentation Requirements Part A Part
410-165-0000 Basis and Purpose... 1 410-165-0020 Definitions... 2 410-165-0040 Application... 9 410-165-0060 Eligibility... 11
Medicaid Electronic Health Record Incentive Program Administrative Rulebook Office of Health Information Technology Table of Contents Chapter 410, Division 165 Effective October 24, 2013 410-165-0000 Basis
Click this button to place your order.
Medicare 33rd Edition 2016 What you need to know about Medicare in simple, practical terms. Click this button to place your order. 2016 MEDICARE CONTENTS 1 2 3 4 5 6 Published By PAGE INTRODUCTION Are
Advance Care Planning Services
September 8, 2015 Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G Hubert H. Humphrey Building 200 Independence, Ave., S.W.
LCD L30256 - C-Reactive Protein High Sensitivity Testing (hscrp)
LCD L30256 - C-Reactive Protein High Sensitivity Testing (hscrp) Contractor Information Contractor Name: Novitas Solutions, Inc. Contractor Number(s): 12501, 12101, 12102, 12201, 12202, 12301, 12302, 12401,
New Patient Visit. UnitedHealthcare Medicare Reimbursement Policy Committee
New Patient Visit Policy Number NPV04242013RP Approved By UnitedHealthcare Medicare Committee Current Approval Date 12/16/2015 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to
A B C D F F* G K L M N Basic, including. Basic, including. coinsurance. 75% Skilled Nursing. Facility Coinsurance. 50% Part A. Deductible.
This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make Plan A available. Some plans may not be available in your state. AmeriHealth Insurance
professional billing module
professional billing module Professional CMS-1500 Billing Module Coding Requirements...2 Evaluation and Management Services...2 Diagnosis...2 Procedures...2 Basic Rules...3 Before You Begin...3 Modifiers...3
The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97
6 The Collaborative Models of Mental Health Care for Older Iowans Model Administration Collaborative Models of Mental Health Care for Older Iowans 97 Collaborative Models of Mental Health Care for Older
Medicare Outpatient Therapy Billing
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services R Medicare Outpatient Therapy Billing August 2010 / ICN: 903663 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare
Claims Data: Source and Processing. Barbara Frank, M.S., M.P.H. Director of Workshops, Outreach, and Research University of Minnesota
Claims Data: Source and Processing Barbara Frank, M.S., M.P.H. Director of Workshops, Outreach, and Research University of Minnesota Overview of CMS Claims Data What is a claim? How are claims processed?
MEDICAL POLICY: Telehealth Services
POLICY........ PG-0142 EFFECTIVE......01/01/08 LAST REVIEW... 01/12/16 MEDICAL POLICY: Telehealth Services GUIDELINES This policy does not certify benefits or authorization of benefits, which is designated
Diabetes Outpatient Self-Management Training (NCD 40.1)
Policy Number 40.1 Approved By UnitedHealthcare Medicare Reimbursement Policy Committee Current Approval Date 02/11/2015 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare
2015 Orange County HICAP Medicare Advantage Special Needs Plans Comparison Chart
Brand New Day Brand New Day Brand New Day Brand New Day Bridges Drug Savings Bridges Extra Care Harmony Healthy Heart Drug Savings dementia. dementia. chronic and disabling mental health conditions. chronic
Please log onto the audio portion of this webinar: Session 6
Please log onto the audio portion of this webinar: Session 6: Dial in: 866 740 1260 Access Code: 9870028 1 University of California Clinical Research Billing Education Series September October 2010 Session
Medicare Supplement Standardized Plans
Medicare Supplement Standardized Plans There are many kinds of Medicare Supplement Plan Different plans are designated with a letter Available plans include A, B, C, D, F, G, K, L, M, & N Not all plans
Medicare Supplement (Medigap) Coverage for Medicare Beneficiaries
Medicare Supplement (Medigap) Coverage for Medicare Beneficiaries Brian Webb Manager, Health and Life Policy Nat l Assoc. of Insurance Commissioners February 6, 2009 Original Medicare Created in 1965,
Supplemental Coverage Option 2 + 1
Supplemental Coverage Option 2 + 1 Supplemental coverage gives you total health protection Our Blues Supplemental coverage fills in many of the Medicare gaps like deductible, and copayment amounts that
I. Current Cardiac Rehabilitation Requirements
CLIENT ADVISORY July 24, 2009 CMS Proposes Changes to Cardiac Rehabilitation Program Design and Physician Supervision Requirements The Centers for Medicare and Medicaid Services (CMS) recently published
Transition to Full CMS Encounter Data Submission by 2012 Frequently Asked Questions
Table of Contents OVERVIEW... 2 Why is CMS implementing a Full Encounter Data requirement?... 2 Why is CMS mandating the Encounter submissions be changed to the 5010 format?... 2 Why is it important for
Plan F & Plan F* Skilled Nursing Facility Coinsurance Part A Deductible Part B. Deductible. Part B Excess (100%) Foreign Travel Emergency
Outline of Medicare Supplement Coverage By Reason of Age Cover Page: Benefit Plans A, F, High F and N See Outlines of Coverage sections for detail about all plans. This chart shows the benefits included
Payment Methodology Grid for Medicare Advantage PFFS/MSA
Payment Methodology Grid for Medicare Advantage PFFS/MSA This applies to SmartValue and Security Choice Private Fee-for-Service (PFFS) plans and SmartSaver and Save Well Medical Savings Account (MSA) plans.
Behavioral Health Services. Provider Manual
Behavioral Health Provider Manual Provider Behavioral Health 1 May 1, 2014 TABLE OF CONTENTS Chapter I. General Program Policies Chapter II. Member Eligibility Chapter IV. Billing Iowa Medicaid Appendix
Understanding your. Medicare options. Medicare Made Clear TM. Get Answers Series. Y0066_120629_084915 CMS Accepted
Understanding your Medicare options. Medicare Made Clear TM Get Answers Series Y0066_120629_084915 CMS Accepted learning about Medicare Choices. Eligibility Coverage options When to enroll Next steps and
MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT FORM APPROVED OMB NO. 0938-0373 Name(s) and Address of Participant*
EPEC. Education for Physicians on End-of-life Care. Trainer s Guide
EPEC Education for Physicians on End-of-life Care Trainer s Guide Procedure/Diagnosis Coding and Reimbursement Mechanisms for Physician Services in Palliative Care EPEC Project, The Robert Wood Johnson
Non-Physician Practitioner Services Coding & Reporting. Karla R. Peter, RHIT, CCS, CCS-P, CPC Avera Health September 6, 2013
Non-Physician Practitioner Services Coding & Reporting Karla R. Peter, RHIT, CCS, CCS-P, CPC Avera Health September 6, 2013 Medical Necessity Overarching Criterion Medicare Claims Processing Manual, Chapter
MLN Matters Number: MM5972 Related Change Request (CR) #: 5972. Related CR Transmittal #: R1490CP Implementation Date: July 7, 2008
The NPI will be Required for all HIPAA Standard Transactions on May 23 rd. As of May 23, 2008, the NPI will be required for all HIPAA standard transactions. This means: - For all primary and secondary
Page 1 of 11. MLN Matters Number: SE1010 REVISED Related Change Request (CR) #: 6740. Related CR Release Date: N/A Effective Date: January 1, 2010
News Flash Version 3.0 of the Measures Groups Specifications Manual released in November 2009 for 2010 PQRI has been revised. Version 3.1 of the 2010 PQRI Measures Groups Specifications Manual and Release
Medicare- Tennessee Overview
Medicare- Tennessee Overview Medicare is a government-administered program providing health insurance to 43 million Americans. The Centers for Medicare and Medicaid Services (CMS) implements laws and establishes
BILLING AND CODING ISSUES FOR PHYSICIAN, NP, PA, CNS
BILLING AND CODING ISSUES FOR PHYSICIAN, NP, PA, CNS Alva S. Baker, MD, CMD Objectives: Describe basic billing and coding practices applicable to long term care Delineate task performance in nursing homes
AETNA MEDICARE OPEN SM PLAN PROVIDER TERMS AND CONDITIONS OF PAYMENT
AETNA MEDICARE OPEN SM PLAN PROVIDER TERMS AND CONDITIONS OF PAYMENT Table of Contents 1. Introduction 2. When a provider is deemed to accept Aetna Medicare Open Plan s terms and conditions 3. Provider
OLD AGE PENSION HEALTH CARE PROGRAM 8.940 8.941 8.940 OLD AGE PENSION HEALTH CARE PROGRAM AND OLD AGE PENSION HEALTH CARE SUPPLEMENTAL PROGRAM
8.940 8.941 8.940 OLD AGE PENSION HEALTH CARE PROGRAM AND OLD AGE PENSION HEALTH CARE SUPPLEMENTAL PROGRAM 8.941 EXTENT AND LIMITATIONS OF MEDICAL CARE 8.941.1 GENERAL DESCRIPTION - OLD AGE PENSION HEALTH
Basic, Including 100% Part B Coinsurance. Part B Coinsurance. Coinsurance* 50% Skilled Nursing Facility Coinsurance. Skilled Nursing Facility
AMERICAN RETIREMENT LIFE INSURANCE COMPANY P. O. BOX 26580 AUSTIN, TX 78755-0580 866-459-4272 Outline of Medicare Supplement Coverage - Benefit Plans A, F, G and N This chart shows the benefits included
Medicare Basics and Medicare Advantage
Medicare Basics and Medicare Advantage Medicare The federal health insurance program for people age 65 and over, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent
Medicare Information for Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Serices R Official CMS Information for Medicare Fee-For-Serice Proiders Medicare Information for Adanced Practice Registered Nurses,
I wanted to understand the Medicare program basics. This presentation really helped.
Welcome to Medicare 101! I wanted to understand the Medicare program basics. This presentation really helped. What is Medicare? What benefits does Medicare cover? What benefits doesn t Medicare cover?
Making Medicare Work for Physical, Occupational and Speech Therapists Workshop Q&As
Making Medicare Work for Physical, Occupational and Speech Therapists Workshop Q&As This Question and Answer (Q&A) series was developed from the Making Medicare Work for Physical, Occupational and Speech
Are You a Hospital Inpatient or Outpatient? If You Have Medicare Ask!
CENTERS FOR MEDICARE & MEDICAID SERVICES Are You a Hospital Inpatient or Outpatient? If You Have Medicare Ask! Did you know that even if you stay in the hospital overnight, you might still be considered
FAQs on Billing for Health and Behavior Services
FAQs on Billing for Health and Behavior Services by Government Relations Staff January 29, 2009 Practicing psychologists are eligible to bill for applicable services and receive reimbursement from Medicare
. 4 " ~ f.".2 DEPARTMENT OF HEALTH & HUMAN SERVICES OFFICE OF INSPECTOR GENERAL. December 19,2003. Our Reference: Report Number A-O2-03-01016
. 4 " ~..+.-"..i"..,. f.".2 '" '" ~ DEPARTMENT OF HEALTH & HUMAN SERVICES OFFICE OF INSPECTOR GENERAL Office of Audit Services Region II Jacob K. Javits Federal Building New York, New York 10278 (212)
Frequently Asked Questions
Frequently Asked Questions Medicare Shared Savings Program Contents General Questions... 1 *NEW* Assignment... 5 ACO Participant List... 5 *UPDATED* Form CMS-588 Electronic Funds Transfer (EFT)... 7 Governing
Glossary of Terms. Account Number/Client Code. Adjudication ANSI. Assignment of Benefits
Account Number/Client Code Adjudication ANSI Assignment of Benefits Billing Provider/Pay-to-Provider Billing Service Business Associate Agreement Clean Claim Clearinghouse CLIA Number (Clinical Laboratory
An ANALYSIS of Medicare Benefits per the 2016 Medicare and You Handbook & The State of Delaware's Special Medicfill Plan Benefits
An ANALYSIS of Medicare Benefits per the 2016 Medicare and You Handbook & The State of Delaware's Special Medicfill Plan Benefits The chart below presents the list of benefits covered by Medicare, and
CONTENTS. o o o o o o o o o o o o
CONTENTS o o o o o o o o o o o o What Are Medicare Advantage (MA) Plans? Who Can Join and When? MA Trial Right Special Election Period How MA Plans Work MA Costs Types of Medicare Advantage Plans Rights
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services News Flash Existing regulations at 42 CFR 424.510(e)(1)(2) require that at the time of enrollment, enrollment change request
2011 STANDARD Medicare Supplement/ Life Insurance Plans
2011 STANDARD Medicare Supplement/ Life Insurance Plans Issued by Forethought Life Insurance Company TEXAS MS3000-01-TX 2011 Forethought Standard Medicare Supplement Insurance Plans You can rely on Forethought
What Federal Employees Need to Know About Their Health Insurance and Medicare
What Federal Employees Need to Know About Their Health Insurance and Medicare Federal employees have been paying the Medicare Part A (hospital insurance) payroll tax since Jan. 1, 1983. That means all
INDEPENDENT CARE HEALTH PLAN
icare ICD-10 FAQs 1. What are the improvements to ICD-10-CM/PCS coding? Answer: The new classification system provides significant improvements greater detailed information and the ability to expand to
How To Opt Out Of Medicare
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services NEW products from the Medicare Learning Network (MLN) Transitional Care Management Services, Fact Sheet, ICN 908682, Downloadable
UPDATED NOVEMBER 2015. Providing and Billing Medicare for Chronic Care Management
UPDATED NOVEMBER 2015 Providing and Billing Medicare for Chronic Care Management Research studies have demonstrated time and again that care management reduces total costs of care for chronic disease patients
Telehealth Services. Part B Provider Outreach and Education January 2016
Telehealth Services Part B Provider Outreach and Education January 2016 DISCLAIMER This information release is the property of Noridian Healthcare Solutions, LLC. It may be freely distributed in its entirety
Frequently Asked Billing Questions
Frequently Asked Billing Questions How will I be billed? Mayo Clinic Health System will send you a billing statement with your charges. Provider charges for clinic and hospital services will be billed
Local Coverage Determination (LCD): Non- Emergency Ground Ambulance Services (L33383)
Local Coverage Determination (LCD): Non- Emergency Ground Ambulance Services (L33383) Contractor Information Contractor Name First Coast Service Options, Inc. LCD Information Document Information LCD ID
A Conversation About Medicare Part A, B, C and D
Please take this moment to convert the display to Full Screen A Conversation About Medicare Part A, B, C and D www..com A Conversation About Medicare Part A, B, C and D www.healthcaremedicalpharmaceuticaldirectory.com
General information. The following material has been developed to help you understand and reconcile Mayo Clinic billing and Medicare reimbursement.
General information Part B helps pay for: services (excluding routine physicals) medical and surgical services and supplies surgery center facility fees for approved procedures equipment (such as wheelchairs
2015 Benefit Chart of Medicare Supplement Plans Outline of Coverage 1-888-708-0123 mhinsurance.com
2015 Benefit Chart of Medicare Supplement Plans Outline of Coverage 1-888-708-0123 mhinsurance.com MEMBERS HEALTH INSURANCE COMPANY Home Office: P.O. Box 1424, Columbia, TN 38402-1424 1-888-708-0123;
How To Get An Ambulance From A Hospital To A Hospital
CENTERS for MEDICARE & MEDICAID SERVICES Medicare Coverage of Ambulance Services This official government booklet explains: When Medicare helps cover ambulance services What you pay What Medicare pays
OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT STANDARD PLANS A, B, C, D, F, J AND HIGH DEDUCTIBLE PLAN F
Anthem Blue Cross Blue Shield Connecticut Administrative Office: PO Box 1014 North Haven, CT 06473 Toll Free Telephone Number: 1-800-238-1143 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Mental Health Services ICN 903195 September 2013 This booklet was current at the time it was published or uploaded onto
RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION BUREAU OF TENNCARE
RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION BUREAU OF TENNCARE CHAPTER 1200-13-17 TENNCARE CROSSOVER PAYMENTS FOR MEDICARE TABLE OF CONTENTS 1200-13-17-.01 Definitions 1200-13-17-.04 Medicare
Outline of Medicare Supplement Coverage TUFTS MEDICARE PREFERRED SUPPLEMENT PLANS 2015
TUFTS MEDICARE PREFERRED SUPPLEMENT PLANS 2015 Outline of Medicare Supplement Coverage Tufts Medicare Preferred Supplement Core Tufts Medicare Preferred Supplement One Effective January 1, 2015 December
Medicare has four components, Part A, Part B Part C and Part D:
Medicare What is Medicare? Medicare is a National Health Insurance Program for people 65 years of age and older Certain persons with disabilities under the age of 65 People with end stage renal disease
Are You a Hospital Inpatient or Outpatient?
Are You a Hospital Inpatient or Outpatient? If You Have Medicare Ask! Revised May 2014 Did you know that even if you stay in a hospital overnight, you might still be considered an outpatient? Your hospital
K L M N Basic, including Basic,
Companion Life Insurance Company Administrative Office PO Box 14158 Clearwater, Florida 33766-4158 (888) 220-0466 Outline of Medicare Supplement Coverage Cover Page Benefit Plans A, F and G - See Outlines
Insurance 101. Infant and Toddler Coordinators Association. July 28, 2012 Capital City Hyatt. Laura Pizza Plum Plum Healthcare Consulting
Insurance 101 Infant and Toddler Coordinators Association July 28, 2012 Capital City Hyatt Laura Pizza Plum 1 Agenda Basics of Health Insurance Frequently Asked Questions Early Intervention and working