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It is maintained by the CPT Editorial Panel. [1] The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
A Qualified Employee Discount is defined in Section 132(c) as any employee discount with respect to qualified property or services to the extent the discount does not exceed (a) the gross profit percentage of the price at which the property is being offered by the employer to customers, in the case of property, or (b) 20% of the price offered for services by the employer to customers, in the ...
This information is translated into standardized codes through medical coding, using the appropriate coding systems such as ICD-10-CM and Current Procedural Terminology (CPT). A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2]
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
The AAPC, previously known by the full title of the American Academy of Professional Coders, [4] is a professional association for people working in specific areas of administration within healthcare businesses in the United States. [5]
The essential health benefits are a minimum federal standard and "states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits." [1]: 3 The act gives "considerable discretion" to the Secretary of Health and Human Services to determine, through regulation, what specific services ...
[1] [4] It is an alternative to a mechanical valve replacement, particularly in children and young adults. [7] It avoids the need for thinning the blood, has favourable blood flow dynamics and the valve grows as the person grows. [7] The most common reason for performing the Ross procedure in children and young adults is for bicuspid aortic ...
In the United States, Curricular Practical Training (CPT) provides temporary employment authorization for F-1 visa non-immigrant foreign students while enrolled in a college-level degree program. [1] Students can receive employment authorization right after enrollment if the college deems the work "integral" to the student's study, such as a ...