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What is the Healthcare Fraud Prevention Partnership (HFPP

The following disclaimer applies: Regarding all Healthcare Fraud Prevention Partnership (HFPP) communications and activities, this is a purely voluntary activity.

Actived: 5 days ago

URL: https://downloads.cms.gov/files/HFPP-flyer-12152016.pdf

Billing and Coding Guidelines for Wound Care

Billing and Coding Guidelines for Wound Care LCD ID L34587 Billing Guidelines Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. Active wound care procedures are …

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Billing and Coding Guidelines Psychiatry and Psychology …

CPT code 90853 represents group therapy. When medically indicated, the interactive complexity add-on code (+90785) may be billed in conjunction with this code. CPT Code 90839 is for …

Category:  Medical Go Health

Accountable Care Organizations and You: Frequently Asked …

2 An ACO isn’t an HMO, managed care or insurance company. Unlike HMOs, managed care, or some insurance plans, an ACO can’t tell you which health care providers to see and can’t …

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Billing and Coding Guidelines Psychological and …

CPT Codes for Diagnostic Psychological and Neuropsychological Tests. The range of CPT codes used to report psychological and neuropsychological tests is 96101-96120. CPT codes 96101, …

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Harmony Health Plan (WellCare), H1216, H1264, H0913, …

Harmony Health Plan (WellCare), H1216, H1264, H0913, H9730, H3361 Dual Eligible (Medicare Zero Cost-Sharing) Special Needs Plan Model of Care Score: 98.75%

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H3387 UnitedHealthcare of New York, Inc.

H3387 UnitedHealthcare of New York, Inc. Dual Eligible (Dual Eligible Subset - Medicare Zero Cost-sharing) Special Needs Plan Model of Care Score: 78.33%

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Coding and Billing Guidelines for Psychiatry and Psychology …

M0064 is defined as a brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental, psychoneurotic and personality disorders. Based …

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Coding and Billing Guidelines

Services to beneficiaries who require psychiatric services (services should be billed with CPT codes 90801 – 90899). Evaluation and Management services, including Preventive Medicine, …

Category:  Medicine Go Health

SHEET Chiropractic Services

For chiropractic services, this means the patient must have “a significant health problem in the form of a neuromusculoskeletal condition necessitating treatment, and the manipulative …

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H4003 MMM Healthcare Inc. Dual-Eligible (Full Benefit) …

H4003 MMM Healthcare Inc. Dual-Eligible (Full Benefit) Special Needs Plan Model of Care Score: 95.00% 3-Year Approval January 1, 2015 – December 31, 2017 Target Population

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DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 . Baltimore, Maryland 21244-1850

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OUTPATIENT PSYCHIATRY & PSYCHOLOGY SERVICES FACT …

For psychotherapy sessions lasting 90 minutes or longer, the appropriate prolonged service code should be used (99354 – 99357). The duration of a course of psychotherapy must be …

Category:  Course Go Health

Nearly half the Plan’s members (45 percent) ha

Quality Health Plans of New York, H2773 Chronic or Disabling Condition Special Needs Plan (Cardiovascular Disorders, Chronic Heart Failure, Diabetes)

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H3259 Volunteer State Dual Eligible Full Benefit-final

Volunteer State Health Plan (VSHP) is a wholly-owned subsidiary of BlueCross BlueShield of Tennessee. VSHP’s target population consists of dual eligible members with full Medicaid …

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H5852 AIDS Healthcare Foundation Chronic or Disabling …

The incidence of members with HIV/AIDS is 772 per 100,000 for males and 98 per 100,000 for females. An estimated 60% of PLWHA, or 48,069 persons, in LAC are not receiving primary …

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Billing/Coding Guidelines Article Title: Routine Foot Care And

A diagnosis of onychomycosis can allow 11720 or 11721 if it has either a Q modifier (but does not need a MD or DO last seen) or if it has one of the 6 ICD-9 codes listed in the special …

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DEPARTMENT OF HEALTH & HUMAN SERVICES Room 37-100 …

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Jacob K. Javits Federal Building 26 Federal Plaza Room 37-100 New York, New York 10278 …

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Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero …

Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014

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ceived a copy of Larry Reed’s letter to you, in which he …

Department of Health & Human Services Centers for Medicare & Medicaid Services 26 Federal Plaza, Room 37-100 North New York, NY 10278 December 22, 2010

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Inpatient Psychiatric Hospitalization- Supplemental Coding …

Article Text. The information in this supplemental instructions article (SIA) contains coding or other guidelines that complement the local coverage determination (LCD) for Inpatient Psychiatric …

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