|
Medicare Reimbursement Rate
Publ.Date : Mon, 08 Feb 2010 15:42:26 GMT+00:00
Publ.Date : Tue, 09 Feb 2010 05:06:10 GMT+00:00
Publ.Date : Mon, 08 Feb 2010 22:31:13 GMT+00:00
Publ.Date : Mon, 08 Feb 2010 21:53:43 GMT+00:00
Publ.Date : Tue, 09 Feb 2010 11:06:23 GMT+00:00
|
|
Medical Practice Management
Company Influences Major Reimbursement Policies
by June Marshall-kingsley
mpowermed, inc., a medical practice management company in Mahwah, NJ,
influenced Aetna and Pennsylvania Centers for Medicare and Medicaid to change
their reimbursement policies for certain medical procedures. Both patients and
physicians benefit from these reimbursement changes.
The world of medical billing and coding for physician reimbursement is
complex and can be daunting. Staying on top of the game with reimbursement
policies from such large insurance organizations as Aetna, Medicare, and
Medicaid takes knowledge and experience. But sometimes the policies don’t make
sense, are not in the physician’s best interest, or have not changed to keep up
with current medical practices.
That is where a proactive, dedicated, and experienced practice management
company like mpowermed, inc., of Mahwah, New Jersey makes a difference -- by
fighting for every cent due when the polices seem unfair, outdated, or simply
incorrect for today’s needs. Such was the case with a policy regarding a breast
cancer treatment involving a treatment device known as a breast board.
Pennsylvania Medicare and Medicaid were denying payment for more than one use of
these treatment devices a day. mpowermed appealed with the following words in a
letter, “In a given course of treatment, it is most common to see more than a
single treatment device in a day. We are confident that all medical
documentation would prove medical necessity.”
Because of this letter, the Pennsylvania Center for Medicare and Medicaid
Services wrote back to mpowermed saying they researched the treatment device
situation and actually visited a large cancer treatment facility, “to view the
devices and discuss their use and billing with a radiation oncologist.” Based on
these findings, Pennsylvania Medicare and Medicaid will update their policies
regarding this treatment device (CPT Code 77334).
Prior to this victory, mpowermed had written to Aetna about rejecting claims for
another reimbursable item, Portal Film (CPT Code 77417) usage on the same day as
the physician’s weekly management charge (CPT Code 77427). After amassing
impressive documentation proof, mpowermed suggested the changes to differentiate
between portal film usage in a freestanding clinic versus a hospital setting.
Aetna agreed to reimburse the technical use of portal film in freestanding,
privately owned radiation oncology clinics.
According to mpowermed, “It takes patience and perseverance to influence policy
changes in large insurance organizations. Both Aetna and the Centers for
Medicare and Medicaid Services were more than cooperative in affecting the
necessary changes. It is for the benefit of the patient and the physician when
they do! This is what makes medical practice management, billing, and coding
such a rewarding opportunity!”
Company contact:
mpowermed, inc.
June Marshall-Kingsley
Marketing Manager
201-684-1616 Ext. 130
Outdoor Search Resource
Welcome to the Rangerrob Outdoor Search Information Resource site. Find all types of outdoor activities and places. Abuse Online Search Resource and Information Center
Welcome to Abuse online find. Featuring a complete search tool for Women, Children, Drugs and Animals. Shopping.com Online Mall
Shopping.com is a full service online shopping mall. Featuring great deals and discounts everyday. Investments Online Extreme Search Center
Welcome to the Investments Online Search Center. A fun and exiting secured Informational website on investing. Food Search Resource
Welcome to the food search online, Featuring all types of food, recipes, dishes and resources. A fast and reliable searvice. Golden Palace Online Casino
Welcome to the Golden Palace Online Gambling Casino. A safe and secure website. Play for fun or for real Money. Northwest Custom Webs
Welcome to Northwest Custom Webs. A Full service web design, hosting, updates and marketing firm. With real personal treatment and effective packages. Poker Online Search Engine
A full resource for search for online Poket, Casinos, Bingo and Sports betting. Bookmark us today. Social Security Resource
Social Security Search Resource. Find SSN information and answer your department questions. Games, Gaming and Gamers Online
Welcome to the Online Gaming Extreme Search Resource. Featuring Games, PC, PS2 and X Box Information and Downloads. Fashion Online
Find Fashion, Bridal, Baby supplies and Lingerie sites. A complete shopping tool. Business Online Search
Welcome to Business Online search and Information Center. A complete search engine tool. Weather Online Search
Welcome to Weather Online Seach and Information Resource Center. Featuring a full search of weather related issues. Tax and Taxes Online Search Resource
Welcome to the Tax and Taxes Online Search Resource Center. A full search tool for business and personal. Rental Search Online
Welcome to Rental Search Online Information Resource Center. Featuring property rentals and homes. Mortgage Agents, Brokers and Lenders Online Search Resource
Welcome to mortgage agents, brokers and lenders online search resource center. A complete search resource for home buyers and sellers. Find the best rates here. National Real Estate Online Search Center
Welcome to the National Real Estate Online Search Center. A complete search tool for Homes, property, land and real state listings. College Online Searchand Information Tool
A Complete Web Search Online for Colleges and Schools. Search all types of Education. Health Online Find
Welcome to Health and Fitness online search and Information Resource Center. Domains - Northwest Domain Registration Services
Domain Registration for only $12.95. A fast and easy domain registration company with no games or gimmicks. Check us out. RBRVS EZ Fees Medicare Fee Schedules CPT
Low cost solution for creating and managing health care fee schedules. Offers product
information and demonstration version. Medi-Cal Home
Self-serve site sponsored by the California Department of Health Services offering
password-protected access to program information, publications, and updates. Medicare Information
Background information on Medicare from Health Symphony, a commercial health
insurance quotes and information center. Welcome to the Joint Council of Allergy, Asthma and Immunology
Provides a mechanism for keeping allergists and immunologists aware of socio-economic
issues which affect them. Represents the specialty of allergy or ... Napa News
Local, regional, and statewide news collected from diverse sources on the web. Bay Center News
Local, regional, and statewide news collected from diverse sources on the web. Benefitnews.com - Information for HR and Benefit Directors and ...
Terms and acronyms associated with human resources. Welcome to the California Oncology Consortium
Dedicated to assisting oncologists in the delivery of the highest quality patient
care by providing a forum for the exchange of ideas and data. CNN - Clinton proposes plan to cut Medicare costs, fraud ...
[CNN] Managed Care and Healthcare Terminology
Hundreds of managed healthcare definitions.
Add Your Site!
| 
