巧立名目,这个东西的确大部分保险是不cover的,Medicare 也不cover

现在这种巧立名目的东西太多。

你可以研究一下这段话: 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 的确是用不同的guideline, 关于code的信息有用,谢谢。按说大部分保险是应该管的。 -julie2010- 给 julie2010 发送悄悄话 (480 bytes) () 07/12/2022 postreply 09:39:09

顺便说一下上次让我付的与酒有关的问卷调查费被抹掉了 -dudaan- 给 dudaan 发送悄悄话 dudaan 的博客首页 (122 bytes) () 07/12/2022 postreply 10:00:09

谢谢,您的信息太有用了,就打算这么办。 -julie2010- 给 julie2010 发送悄悄话 (538 bytes) () 07/12/2022 postreply 10:32:43

这个东西指什么? Medicare 一般是包括colon screening的。 -天云- 给 天云 发送悄悄话 (56 bytes) () 07/12/2022 postreply 10:36:53

每个州不一样 -fuz- 给 fuz 发送悄悄话 fuz 的博客首页 (0 bytes) () 07/12/2022 postreply 10:43:59

Medicare is federal law, not state. 应该不会因州而异。 -天云- 给 天云 发送悄悄话 (0 bytes) () 07/12/2022 postreply 10:49:30

medicare的colonoscopy screening的确有可能要付copay -julie2010- 给 julie2010 发送悄悄话 (692 bytes) () 07/12/2022 postreply 10:44:49

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