reimbursement

Hi all, I've been in and out of these forums for a bit but only signed up today, and hopefully I'm posting this question in the right section. I'm trying to understand how reimbursement works with respect to anesthesia for office based GI cases. I'm in the NYC metro area, and we have an office...

CMS states the G2211 code modifier can be applied to “ongoing medical care related to a patient’s single, serious condition, or complex condition,” and that “G2211 captures the inherent complexity of the visit that’s derived from the longitudinal nature of the practitioner and patient...

When I registered for INBDE, I got a receipt email from JCNDE. However, HPSP told me that JCNDE is not on the authorized list for reimbursement, but on their reimbursement list, INBDE is listed as reimbursable. HPSP keeps asking for a receipt with the green ADA letterhead on it but when I...

I'm a 3rd-year fellow here, starting job next summer in a community hospital-employed position. Pay is base + bonus after RVU threshold. I've heard different answers to this question from the various attendings at my institute. For those of you who are RVU based, how are RVUs calculated, and are...

Hello all! Has there been any movement on medical students discussing or receiving partial tuition reimbursement for school closures due to COVID-19? Loyola Stritch is reimbursing for gym and parking fees but administration is resistant to partial tuition reimbursement. We have no live...

I have a CRNA come to my office to provide Monitored Anesthesia Care (MAC) sedation for my kyphoplasty procedures as these can be very uncomfortable for the patient. I have been having issues getting this sedation reimbursed. Does anyone have any tips about the best way to go about billing these...

Where can I find the SC reimbursement amount for medicaid and insurances for mental health services (counseling, crisis, etc.)?

Hello, So I just finished up my Freshman year at Boston University, where I'm majoring in Behavior and Health, a program designed to prepare students for OT school. I'm hoping to intern/volunteer this summer at an Applied Behavioral Analysis center in my home state. However, my main goal is to...

Hello, So I just finished up my Freshman year at Boston University, where I'm majoring in Behavior and Health, a program designed to prepare students for OT school. I'm hoping to intern/volunteer this summer at an Applied Behavioral Analysis center in my home state. However, my main goal is to...

Let's say that I am a PCP, and one of my patients has a high deductible (say, $5,000) insurance plan (HDP). If I assess their symptoms as having a 99212 level complexity, and their insurer pays $25 for a 99212, do I have to take the $25 (which will be coming from the patient of the HDP) or can I...

I am confused about how insurance reimburses packaged medications and would like someone clarify it for me. To my understanding, let's say, creams and solutions which comes in different weights like 15g, 30g should have different reimbursement rates right? Does that work the same for solutions...

Hi, everyone. I have a question for the group and in particular for those who have experience with HMO plans. How many HMO plans on average is / can one dental practice be subscribed to ? What is the average number of HMO patients assigned to a dental practice and how much is the...

Hi, everyone. I have a question about practice management, HMO insurance and capitation checks. A few years ago while working for a practice that accepted HMO insurance I remember one day when one of the front desk clerks mentioned that just on that one single day she had received $16K in...