巧立名目,這個東西的確大部分保險是不cover的,Medicare 也不cover

現在這種巧立名目的東西太多。

你可以研究一下這段話: Medicare does not cover this visit for healthy, asymptomatic patients. Commercial payors, however, are required to provide coverage for this visit, which is considered a fundamental component of screening colonoscopy. So, if you incorporate these visits in your practice, you should get paid for them. Some Blue Cross/Blue Shield plans require a Healthcare Common Procedure Coding System (HCPCS) code for this (S0285); others will use a code for an office visit or even a preventive service code, like the 99401 series. Keep an eye on payments to be sure the commercial payors are covering these consultations in full.

所有跟帖: 

Medicare 的確是用不同的guideline, 關於code的信息有用,謝謝。按說大部分保險是應該管的。 -julie2010- 給 julie2010 發送悄悄話 (480 bytes) () 07/12/2022 postreply 09:39:09

順便說一下上次讓我付的與酒有關的問卷調查費被抹掉了 -dudaan- 給 dudaan 發送悄悄話 dudaan 的博客首頁 (122 bytes) () 07/12/2022 postreply 10:00:09

謝謝,您的信息太有用了,就打算這麽辦。 -julie2010- 給 julie2010 發送悄悄話 (538 bytes) () 07/12/2022 postreply 10:32:43

這個東西指什麽? Medicare 一般是包括colon screening的。 -天雲- 給 天雲 發送悄悄話 (56 bytes) () 07/12/2022 postreply 10:36:53

每個州不一樣 -fuz- 給 fuz 發送悄悄話 fuz 的博客首頁 (0 bytes) () 07/12/2022 postreply 10:43:59

Medicare is federal law, not state. 應該不會因州而異。 -天雲- 給 天雲 發送悄悄話 (0 bytes) () 07/12/2022 postreply 10:49:30

medicare的colonoscopy screening的確有可能要付copay -julie2010- 給 julie2010 發送悄悄話 (692 bytes) () 07/12/2022 postreply 10:44:49

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