What is pre-certification (pre authorization, prior authorization)?
Pre-Certification is an authorization given by your insurance company after you Initial Evaluation to each patient for a specified number of visits. Pre-Certification is not a guarantee of payment. It also requires to identify the service is medically necessary for outpatient hospital services in connection with medical, dental Procedures.
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Patient Discharge Status Code - Definition A patient discharge status code is a two-digit code that identifies where the patient is at th...
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CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr... -
REIMBURSEMENT GUIDELINES Global Obstetrical (OB) Care As defined by the American Medical Association (AMA), "the total obstetric pa...
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procedure code and description 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOW...
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CPT CODE J3301 - Kenalog-40 Injection Kenalog-40 Injection (triamcinolone acetonide injectable suspension, USP) is a synthetic glucocortic...
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Procedure code and description 95806 - Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory air...
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Frequency Limitations: Testing may be covered up to two times a year in clinically stable patients; more frequent testing may be reasonabl...
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Procedure code and Description 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the...
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procedure code and description 11042 -Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 square cm ...
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Procedure Code Changes and Description • Deleted Codes * 49080 - Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic...
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