Understanding Health Insurance - week 8
About this set
Created by:
AnnamariePearson on March 8, 2011
Subjects:
Description:
HCPCS Coding
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11 terms
Terms | Definitions |
|---|---|
 durable medical equipment (DME) | defined by Medicare as equipment that: can withstand repeated use, is primarily used to serve a medical purpose, is used in the patient's home, would not be used in the absence of illness or injury |
| durable medical equipment, prosthetic and orthotic supplies (DMEPOS) dealers | supply patients with durable medical equipment |
| Medicare Carriers Manual (MCM) | provides direction about services and procedures to be reimbursed by the Medicare administrative contractor |
| Medicare National Coverage Determination Manual | indicates whether a service is covered or excluded under the Medicare program |
| Types of HCPCS level II Codes | ... |
| dental codes | ... |
| miscellaneous codes | ... |
| modifiers | ... |
| permanent national codes | ... |
| temporary codes | ... |
| statistical analysis Medicare administrative contractor (SAMAC) | transitional pass-through payments |
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