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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 ] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [ 4 ]
Such coding is necessary for Medicare, Medicaid, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) use of the HCPCS for ...
HCFA may refer to: American Health Care Act of 2017 , also known as the Health Care Freedom Act Centers for Medicare and Medicaid Services , formerly known as the Health Care Financing Administration
A painting by British artist George Stubbs is expected to sell for up to £2 million ($2.5 million) in London next week, as it comes to auction for the first time in more than 50 years.. The 18th ...
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