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  2. Split billing - Wikipedia

    en.wikipedia.org/wiki/Split_billing

    Add-on codes are additional work associated with a primary service or procedure. Add-on codes can and should only be billed when the provider has performed and billed the primary service. [3]

  3. Diagnosis-related group - Wikipedia

    en.wikipedia.org/wiki/Diagnosis-related_group

    The history, design, and classification rules of the DRG system, as well as its application to patient discharge data and updating procedures, are presented in the CMS DRG Definitions Manual (Also known as the Medicare DRG Definitions Manual and the Grouper Manual). A new version generally appears every October. The 20.0 version appeared in 2002.

  4. ICD-10 - Wikipedia

    en.wikipedia.org/wiki/ICD-10

    ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]

  5. What are Medicare’s income limits in 2023? Here’s how to ...

    www.aol.com/finance/medicare-income-limits-2023...

    The Medicare Extra Help program helps Medicare beneficiaries pay for Part D drug coverage premiums, deductibles, coinsurance, and other costs. To qualify, individuals must have an income capped at ...

  6. Medicare Access and CHIP Reauthorization Act of 2015

    en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

    Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.

  7. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    External parties who may request an NCD are Medicare beneficiaries, manufacturers, providers, suppliers, medical professional associations, or health plans. NCDs can also be internally generated by the Centers for Medicare and Medicaid Services (CMS) under multiple circumstances. For existing items or services

  8. California Health and Safety Code - Wikipedia

    en.wikipedia.org/wiki/California_Health_and...

    In Division 2, the Knox-Keene Health Care Service Plan Act of 1975 in Division 2. Chapter 2.2., 1340 - 1399.864, [13] which is enforced by the California Department of Managed Health Care and regulates most health insurance in California, although some plans are regulated by the California Department of Insurance (CDI) with sometimes similar "companion" statutes in the California Insurance ...

  9. Medical classification - Wikipedia

    en.wikipedia.org/wiki/Medical_classification

    Version 7.0 of the FDA Data Standards Catalog dated 03-15-2021, specifies that MED-RT was a required terminology by the White House Consolidated Health Informatics Initiative in various Federal Register Notices beginning as early as May 6, 2004, for NDAs, ANDAs, and certain BLAs beginning on December 17, 2016, and for certain IND's beginning on ...