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Steve -- PSA Program 2005
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Re: Steve -- PSA Program 2005
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Steve Verno
Re: Steve -- PSA Program 2005
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Jan 21 05 10:08 AM
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The modifiers are what breaks them down.
TC means the technical component of the CPT code is being billed and -26 modifier means the professional component of the same CPT is being billed.
No modifer means you are billing for both professional and technical components. If you look at the Medicare Reimbursement Manual, you will see that the reimbursement is different when no modifier is used, when modifier -26 is used or when TC modifier is used.
Make sure you are not unbundling a code in order to get paid. Also, always check your CCI edits and your local mediare review policies when a code is in question.
In regards to the Physician Scarcity Program, go to the Florida Medicare site:
www.floridamedicare.com
Then go to Part B and search for provider scarcity. There you will see many articles regarding this, including the most recent Medicare B Update - 1Q-2005. This will give you the answers you seek.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Steve -- PSA Program 2005
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