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Understanding Health Insurance - week 8

HCPCS Coding
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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
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dental codes
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miscellaneous codes
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modifiers
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permanent national codes
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temporary codes
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statistical analysis Medicare administrative contractor (SAMAC)
transitional pass-through payments