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Showing posts from November, 2013

What is Medicare 72 hour rule?

Medicare 72 hour rule indicates that any outpatient (OP) diagnostic or any other medical services performed within 72 hours prior to admitted to the hospital should be bundled into on bill, so you cannot bill the claim separately. This is called Medicare 72 hour rule. Few diagnostic examples for Medicare 72 hour rule   Radiology Lab work CT Scans Anesthesia etc.,

Medicare Deductible, Coinsurance, and Premium rate for 2104

Herewith we have listed the Medicare Part A & B Deductible, Coinsurance, and premium details for 2014 as follows. 2014 Part A Deductible $1216.00 Coinsurance $304.00 a day for 61 st – 90 th day $608.00 a day for 91 st – 150 th day (Life time reserve days) $152.00 a day for 21 st -100 th day ( Skilled Nursing Facility coinsurance) Base Premium $426.00 a month BP with 10% Surcharge $468.60 a month BP with 45 % reduction $234.00 month (For those who have 30-39 quarters of coverage) BP with 45% reduction and 10% surcharge $257.40 a month PART B Standard Premium $104.90 a month PART B Deductible for 2014 – $147 a year Pro rata data amount $114.99 1 st month 32.01 2 nd month Co Insurance 20% Thanks, Medical-billing-updates.blogspot.com

HISTORY OF PRESENT ILLNESS (HPI)

The History Of Present Illness is a chronological description of the development of the patient's present illness from the first sign or symptom or from the previous encounter to the present. It includes the following elements: - location - quality - severity - duration - timing - context - modifying factors & - associated signs and symptoms. Brief and extended History of present Illnesses are distinguished by the amount of detail needed to accurately characterize the clinical problem. A brief HPI consists of one to three elements of the HPI. The medical record should describe one to three elements of the present illness (HPI). An extended HPI consists of four or more elements of the HPI. The medical record should describe four or more elements of the present illness. Brief and extended HPIs are distinguished by the amount of detail needed to accurately characterize the clinical problem. A brief HPI consists of one to three elements of the HPI. The medical...

What is Chief Complaint - CC

The CC is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for the encounter. And the medical record should clearly reflect the chief complaint.   A subjective statement made by a patient describing the most significant or serious symptoms or signs of illness or dysfunction that caused him or her to seek health care. It is used most often in a health history. Thanks, Medical-billing-updates.blogspot.com