CONSUMER PRICE GUIDE
|
|
- Madlyn Hunt
- 5 years ago
- Views:
Transcription
1 1 CONSUMER PRICE GUIDE Revised January 1 st 2017
2 General Information Memorial Hospital abides by all state and federal charging and billing regulations for hospital based healthcare services. The following information is published in accordance with Ohio House Bill No. 197 to allow consumers the opportunity to review hospital charges for selected medical services. Although the information provides basic charge information it is not all inclusive of the potential charges for a given service. It does not include items such as nonroutine supplies and medications that can vary significantly among patients. If more detailed or additional information is needed for specific services, please contact us at mhuccharge@memorialohio.com or (937) This hospital published charge information includes the following: Cardiac Cath Lab Services Delivery Room Services Emergency Department Services Laboratory Services Occupational Therapy Services Operating Room Services Pain Management Services Physical Therapy Services Radiological/x-ray Services Respiratory Therapy Services Sleep Lab Services Wound Care Services Inpatient Room and Board rates & Observation Room rates Memorial Hospital makes every effort to ensure that hospital bills are complete and accurate and is willing to provide financial assistance to those patients who are experiencing difficulty in paying their bills. The hospital participates in the Hospital Care Assurance Program (HCAP) that provides a sliding scale discount based on income and household size. Interest is not charged on unpaid, billed accounts. For more information on payment assistance please contact the hospital via at mhuccharge@memorialohio.com or by phone at (937) The information contained here does not include detail on physician charges for radiology, laboratory, surgical, cardiology or emergency services. For physician charge information, please contact the following businesses. Emergency Department Physicians TEAMHealth: (877) Radiologists (X-ray readings) Mid-Ohio Radiology: (614) or (800) Pathology and Cardiology (pathology and EKG readings) OSU Physicians: (614) or (888) Anesthesia Rural Anesthesia Management: (859)
3 Cardiac Cath Lab s Estimated Insertion/replacement of permanent implantable defibrillator system... 58, Removal/replacement of pacemaker pulse generator dual lead system , Estimated Removal/replacement of pacemaker pulse generator single lead system.. 17, Estimated charge for Implantation of patient-activated cardiac event recorder... 13, Cardioversion, elective, electrical conversion of arrhythmia; external , Estimated Tilt Table , Estimated charge for Left Heart Artery / Ventricle Angiography , Estimated charge for Left Heart Artery / Graft Angiography , Estimated charge for Right & Left Heart Artery/Ventricle Angiography , Labor & Delivery Room s Monitor-Fetal Heart-Per Hour $ Monitor-Neonatal Delivery Room Amniocentesis Laboring Epidural per Hour Laboring Monitoring per Hour OB Recovery 1st Hour OB Recovery Room/15 Minutes Additional Labor & Delivery Room s continued OB C-Section 1st 15 Minutes , OB C-Section Each Additional 15 Minutes Average Total Delivery s Median Normal Vaginal Delivery Hospital (Includes all medications, supplies and hospital services) $7, Median Uncomplicated C-Section Delivery Hospital (Includes all medications, supplies and hospital services) $18,
4 Emergency Department s ED Levels of Care Emergency Room Level $ Emergency Room Level Emergency Room Level Emergency Room Level , Emergency Room Level , Emergency Room Level Critical , ED Procedures Arterial Puncture Arthrocentesis of Joint, Needle Aspiration or Injection Avulsion of Nail Plate, Partial or Complete Blood Product Transfusion , Central Vein IV Line Insertion , Chest Tube Insertion , Ear Wax Impaction Removal EKG 12 Lead Tracing only Electrocardioversion of Heart , Endotracheal Intubation - Breathing Tube Insertion Epidural Blood Patch Spinal Injection , Incision & Drainage Hematoma/Fluid , Foley Catheter Insertion Lab Draw ER Staff Injection, IV push, initial Injection, each additional sequential IV push of a new substance/drug Injection, Subcutaneous or intramuscular IV Hydration, initial, up to one hour IV Hydration, each additional hour IV Infusion Therapy, Additional Sequential, Up to 1 Hour IV Infusion Therapy, Concurrent IV Infusion Therapy, Initial, Up To One Hour IV Infusion Therapy, each additional hour Therapeutic, prophylactic, or diagnostic injection; IV push initial Therapeutic, prophylactic, or diagnostic injection; ea. add l IV push new drug Dermabond Lumbar Puncture/Spinal Tap Moderate Sedation Over 5 Years Old First 30 Minutes Nasal Packing/Cautery Emergency Department s Continued 3
5 PICC Insertion (Peripheral Central IV Line) , Straight Catheter Insertion for Urine Trans Cutaneous Pacing of Heart Immunization Administration through 18 years of age 1 st Component Immunization Administration through 18 years of age Additional Component Vaccine Administration Adult Laboratory s Complete Blood Count (CBC) with Auto Differential $55.00 Complete Blood Count (CBC) Without Auto Differential Basic Metabolic Panel F Comprehensive Metabolic Panel Lipid Panel Ha 1C Marysville Glucose Cholesterol Prothrombin Time Creatinine Serum BUN B Electrolyte Panel Troponin-I Urinalysis - Dipstick Only Urinalysis; Auto with Microscopy Culture - Urine PTT TSH-High Sensitivity TSH-Reflex Magnesium Gross & Micro / Level IV Lipase Potassium Sensitivity Venipuncture Occupational Therapy s 4
6 Activities of Daily Living Mobility - 15 Minutes $97.00 Aquatic Therapy Exercises Each 15 minutes Dynamic Functional Activity - 15 Minutes Fluidotherapy - Whirlpool Therapy Joint Mobilization - 15 Minutes Manual Therapy Each 15 Minutes Massage Therapy -15 Minutes Myofascial Release -15 Minutes Occupational Therapy Evaluation Occupational Therapy Re Evaluation Paraffin - One Area -15 Minutes Patient Education/Instruction - 15 Minutes Sensory Integrative Techniques Therapeutic Exercise - Limited - 15 Minutes Therapeutic Procedure Group - 2 or More Ultrasound Attended - 15 Minutes Whirlpool Therapy Operating Room s Eye Minor - 1st 15 Minutes $1, Eye Major - 1st 15 Minutes , Minor - 1st 15 Minutes $2, Intermediate - 1st 15 Minutes , Major - 1st 15 Minutes , Minor - Additional 15 Minutes Intermediate - Additional 15 Minutes Major - Additional 15 Minutes Pain Management s Office/Outpatient Visit New Level
7 Office/Outpatient Visit New Level Office/Outpatient Visit New Level Office/Outpatient Visit New Level Office/Outpatient Visit New Level Office/Outpatient Visit Established Level Office/Outpatient Visit Established Level Office/Outpatient Visit Established Level Office/Outpatient Visit Established Level Office/Outpatient Visit Established Level EMG 1 Extremity EMG 2 Extremities EMG 3 Extremities EMG 4 Extremities Motor and/or Nerve Conduction Test Nerve Conduction Studies Nerve Conduction Studies Nerve Conduction Studies Nerve Conduction Studies Nerve Conduction Studies Nerve Conduction Studies Nerve Conduction Studies 13 or more Destroy Lumbar/Sacral Facet Joint , Destroy Lumbar/Sacral Joint each additional Facet Joint , Destroy Cervical/Thoracic Facet Joint , Inject Foramen Epidural Lumbar/Sacral Bilateral procedure , Inject Foramen Epidural Lumbar/Sacral , Inject Foramen Epidural ea. add l level. 1, Inject Paravertebral Facet Joint Lumbar/Sacral 1 Level Bilateral procedure , Inject Paravertebral Facet Joint Lumbar/Sacral 2 Level Bilateral procedure , Physical Therapy s Aquatic Therapy with Therapeutic Exercise - 15 Minutes
8 Dynamic Functional Activities - 15 Minutes EMS - Electrical Stimulation - Unattended Exercise-Therapeutic - 15 Minutes Gait Training - 15 Minutes Myofascial Release - 15 Minutes Neuromuscular Re-Education - 15 Minutes Patient Education Instruction - Additional 15 Minutes Physical Therapy Evaluation Physical Therapy Re-Evaluation Physical Performance test - per 15 Minutes Sports Performance Evaluation / Consult Sports Performance Evaluation / Consult / Nutrition Therapeutic Activities - Group - 15 Minutes Therapeutic Activities - Includes Function Performance - 15 Minutes Traction - Mechanical - Supervised Traction-Manual Therapy - 15 Minutes Ultrasound Therapy - 15 Minutes Vasopneumatic Device Therapy 1 + areas Whirlpool Therapy Work Conditioning per hour Radiology s X-Rays Abdomen and Posterior, Anterior Chest $ Cervical 5 view/oblique Chest Posterior, Anterior and Lateral Chest Posterior, Anterior Only Portable Chest Posterior, Anterior Only $ Cross Fire Abdomen DexaScan Foot, 3 views Hand X-Rays Continued Hip Knee X-Ray, 1-2 views Ankle Lumbar Spine-AP & Lateral/Oblique, 4views Mammography Diagnostic Bilateral Mammography Screening Bilateral Shoulder,
9 Upper GI Tract with Double Contrast Wrist CT Scans CT Abdomen with Contrast $1, CT Angiography Chest with Contrast , CT Cervical without Contrast , CT Head without Contrast , CT Head with and without Contrast , CT Pelvis with Contrast , CT Thorax without Contrast , CT Thorax / Chest with Contrast , CT Stone Study , MRI MRI Brain, with and without Contrast $1, MRI Brain, without Contrast $1, MRI Cervical Spine, Without Contrast , MRI Lower Extremity Joint Only without Contrast , MRI Lumbar Spine, Without Contrast , MRI Upper Extremity Joint Only without Contrast , Ultrasound Ultrasound Abdominal/Complete Ultrasound Abdominal/Limited Ultrasound Pelvis/Complete Ultrasound Renal/Limited/No Bladder Ultrasound Renal and Bladder Complete Ultrasound Thyroid and or Neck Respiratory Therapy s Bronchoscopy with Local Anesthetic $1, Bronchoscopy with Sedation , Bronchodilator Response Pre and Post Dilator Administration
10 Nebulizer Therapy Breathing Exercise Instruction Cool Aerosol/Initial Treatment EEG (Electroencephalogram) Awake & Asleep , EEG Extended Monitoring, minutes , EKG Standard 12 Lead (initial) Holter Monitor up to 48 hours Holter Analysis with report Sputum Induction Ventilator Assistance & Mgmt, Initial Day Ventilator Subsequent Days Infant Apnea Monitor management-inpatient Only CPAP Ventilation Initiation and Management Arterial Puncture Oximetry, Multiple Determinations Oximetry, Single Determination Spirometry Nocturnal Oximetry Sat Study Respiratory Medication Inhalation Medication Oxygen Daily Sleep Lab s Sleep Study Unattended Multi Sleep Latency Test / Maintenance of Wakefulness Testing...3, Sleep Polysomnography, w/4 +Parameters (limited study)...3, Sleep Polysomnography w/4 + Parameters..5, Sleep Polysomnography w/ CPAP / BIPAP... 5, Wound Care s Office/Outpatient Visit New Patient Level 1...$ Office/Outpatient Visit New Patient Level Office/Outpatient Visit New Patient Level Office/Outpatient Visit New Patient Level
11 Office/Outpatient Visit New Patient Level Office/Outpatient Visit Established Patient Level Office/Outpatient Visit Established Patient Level Office/Outpatient Visit Established Patient Level Office/Outpatient Visit Established Patient Level Office/Outpatient Visit Established Patient Level Hyperbaric Oxygen Therapy...2, Skin Substitute Graft Trunk/Arm/Leg..6, Skin Substitute Graft Face/Neck/Hand/Foot.....4, Debridement, subcutaneous first 20 square cm or less...1, Debridement, subcutaneous each additional 20 square cm... 1, Negative Pressure Wound Therapy less than or equal to 50 square cm Negative Pressure Wound Therapy greater than 50 square cm Selective Wound Debridement 20 square cm or less Inpatient Room and Board Rates Intensive Care , Intermediate Care , Medical on ICU , Medical/Surgical (Morey Center) Nursery Obstetrics Telemetry (Morey Center) Observation Room s Intensive Care (per hour rate) Medical on ICU (per hour rate) Intermediate Care (per hour rate) Medical on Stepdown (per hour rate)
12 Medical/Surgical Morey Center (per hour rate) Medical/Surgical Telemetry Morey Center (per hour rate) Obstetrics (per hour rate) Average Total s (inclusive of all charges) The 5 Most Common Inpatient Surgical Procedures Total Abdominal Hysterectomy $24, Laparoscopic Cholecystectomy (Gallbladder removal) , Closed Reduction Internal Fixation of Femur Fracture , Total Knee Replacement , Total Hip Replacement , The 5 Most Common Outpatient Surgical Procedures Colonoscopy with Biopsy $3, Esophagogastroduodenoscopy (Upper GI Scope) With Biopsy , Colonoscopy , Colonoscopy with Polypectomy , Esophagogastroduodenoscopy (Upper GI Scope) ,
Patient Price Information List January 1, 2018
In compliance with state law, Western Reserve Hospital is providing this price list containing our charges for Room and Board, Emergency Department, Operating Room, Physical Therapy, Pain Medicine and
More information2017 Patient Pricelist
2017 Patient Pricelist Attached are the most frequent charges at St. Elizabeth Healthcare. All patients are charged the same irrespective of one s ability to pay. The patient s responsibility may vary
More informationConcord Hospital Cost of Care Estimates
Hospital Departments Laboratory Services Basic Metabolic Panel (BMP)(80048) $88 N/A $88 $35 Blood draw (36415) $29 N/A $29 $12 Complete blood cell count (CBC)(85025) $88 N/A $88 $35 Comprehensive Metabolic
More informationLABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES
PROCEDURE CHARGES / HOSPITAL may vary depending on circumstances. Prices subject to change. LABORATORY PROCEDURES Basic Metabolic Panel $112.00 80048 Comprehensive Metabolic Panel $140.00 80053 UA Micro
More informationRoom and Board - Per Day Charges
At Augusta University Health System, we strive to provide the information you need to understand every aspect of your care. In keeping with this promise, AUHS is providing this price list for our services.
More informationPatient Price Information List
Patient Price Information List In compliance with state law, Wayne HealthCare is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical
More informationSumma Barberton Hospital Usual and Customary Charges for Selected Procedures Patient Price List
In compliance with state law, Summa Barberton Hospital publishes charges for room and board, emergency department, labor and delivery, operating room, lab, radiology and other procedures. This publication
More informationPatient Price Information List
Patient Price Information List In compliance with state law, Morrow County Hospital is providing this price list containing our charges for room and board, Emergency Department, operating room, physical
More informationPatient Price Information List
In compliance with federal law, Bradford Regional Medical Center is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other
More informationEastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018
Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 To help our patients make informed health care decisions, Eastern Maine Medical Center has provided pricing
More informationHospital Charge Information List
Hospital Charge Information List To better inform our patients, Norton Healthcare has prepared the following price list of our charges for some of the more common reasons for a hospital visit. They include
More information2019 Patient Price Information List
2019 Patient Price Information List In compliance with state law, Genesis Healthcare System is providing this price list containing our charges for room and board, emergency department, operating room,
More informationRoom and Board Per Day Charges
In compliance with state law, Olean General Hospital is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other procedures.
More informationGolden Plains Community Hospital
Prices The prices listed below are current for February 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an estimate for a service not listed
More informationGolden Plains Community Hospital
Golden Plains Community Hospital Prices The prices listed below are current for January 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an
More informationKaiser Permanente 2013 Sample Fee List
Kaiser Permanente 2013 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care
More informationSutter Health Plus Effective for Calendar Year 2015
Sutter Health Plus Effective for Calendar Year 2015 CPTs CPT Descriptions 2015 Cost Under Deducible (Single Unit) Doctor's Office Visit for a New Patient (Also Urgent Care) 99201 Low Level Visit $99.00
More informationOUTPATIENT Surgery Estimates APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.
OUTPATIENT Surgery Estimates 2019 APPENDECTOMY-laparoscopic: $17,852.53 Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.96 BILATERAL TUBAL LIGATION Laparoscopic using clips: $17,193.28
More informationSunnyview Rehabilitation Hospital
Sunnyview Rehabilitation Hospital The below charges represent Hospital charges only. These charges do not include charges for services provided by physicians or advanced practitioners (ex. anesthesiologists,
More informationF. F. Thompson Hospital Hospital Charges (Price Line Common Requested)
F. F. Thompson Hospital Hospital s (Price Line Common Requested) Contact the Price Line for Verification and Tests/Procedures Not Listed (585)396-6194 Lab Tests Venipuncture $8.00 Lipid Panel $60.00 BMP
More informationContact the Price Line for Verification and Tests/Procedures Not Listed (585)
F. F. Thompson Hospital Hospital s (Price Line Common Requested) Contact the Price Line for Verification and Tests/Procedures Not Listed (585)396-6194 Lab Tests Venipuncture $8.00 Lipid Panel $55.00 BMP
More informationAncillary Services. Agenda. Jacqueline J. Stack, BSHA, CPC, CPC-I, CEMC, CFPC, CIMC, CPEDC
Ancillary Services Jacqueline J. Stack, BSHA, CPC, CPC-I, CEMC, CFPC, CIMC, CPEDC 1 Agenda What are ancillary services? Pulmonary Function Testing Stress Testing Radiology Ultrasounds In-house Labs Weight
More informationKaiser Permanente 2015 Sample Fee List 1
Kaiser Permanente 2015 Sample Fee List 1 SOUTHERN CALIFORNIA Knowing how much you can expect to pay for care and services can give you peace of mind. This Sample Fee List shows you estimated charges for
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
More informationKaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges.
Kaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. NORTHERN CALIFORNIA As your partner in health, we want to help you manage your
More informationMyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers.
January 2012 What is MyCare Advisor SM? Thinking about health care services in a different light is the first step to educating yourself on health care costs. Capital BlueCross is taking the second step
More informationCOMPETENCY REQUIREMENTS for the CERTIFICATION EXAMINATION
COMPETENCY REQUIREMENTS for the 10/2013 CERTIFICATION BOARD FOR RADIOLOGY PRACTITIONER ASSISTANTS CERTIFICATION EXAMINATION Note: The competency requirements contained in this document will be in effect
More information99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30
MILBRIDGE MEDICAL CENTER FAMILY PRACTICE 24 SCHOOL ST, MILBRIDGE ME 99202 Office visit new patient, problem expanded $140.90 99406 Smoking and tobacco use cessation counseling visit $37.30 99397 Preventive
More informationCPT CODES. Ph: (307) Fax: (307) CATSCAN IV Contrast: 87.00
Ph: (307) 382-4282 Fax: (307) 382-4291 CPT CODES CATSCAN IV Contrast: 87.00 74150 Abdomen w/o contrast $ 809.00 74160 Abdomen w/ contrast $1175.00 w/ contrast: $1262.00 74170 Abdomen w_w/o contrast $1324.00
More informationService Bundle 1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6
1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6 Birth Control - Cut and Tie Tubes 7 Bladder Exam - Cystoscopy 8 Bunion
More informationGrouping Revenue Code Description
Pharmacy 0250 General Classification Pharmacy 0251 Generic Drugs Pharmacy 0252 Non-Generic Drugs Pharmacy 0254 Drugs incident to other Diagnostic Services Pharmacy 0255 Drugs incident to Radiology Pharmacy
More information6. The charge shown is only for patients without insurance.
OTHER THERAPEUTIC PROCEDURES AND DIAGNOSTIC TESTING EMERGENCY ROOM, IV THERAPY, CARDIAC CATHETERIZATION, EKG, EEG, VACCINATION, ARTERIAL AND VASCULAR STUDIES For the Time Period : 10/01/16 and 09/30/2017
More informationRADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGIN For the Time Period : 10/01/16 and 09/30/2017
RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGIN For the Time Period : 10/01/16 and 09/30/2017 IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT
More informationAMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS
AMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS INTERNAL MEDICINE & MEDICAL SUBSPECIALTIES INSTITUTIONAL DEMOGRAPHICS AND STATISTICAL REPORT New program Program Increase Inspection
More informationUnderstanding Your Costs and Coverage
Understanding Your Costs and Coverage Thank you for choosing UW. We know that understanding your healthcare costs can be a challenge we re here to help. Your healthcare costs depend on many factors such
More informationRADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGING For the Time Period : 10/01/16 and 09/30/2017
RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGING For the Time Period : 10/01/16 and 09/30/2017 IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT
More informationGRANDVIEW/SOUTHVIEW HOSPITALS DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF CLINICAL PRIVILEGES DATE PRIVILEGES REQUESTED PHYSICIAN NAME
DATE S PHYSICIAN NAME ****************************************************************************** I request the following clinical privileges, and I am aware that a denial of privileges relating to
More informationUPMC For Reference Only PHYSICIAN ASSISTANT 2014
Summary of Services and Availability (by location) UPMC Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each
More informationUPMC University of Pittsburgh Medical Center. For Reference Only MEDICINE 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
More informationOregon CPT Preapproval Grid
Not Applicable Home Health Stays - For all Initial Certification and Recertification periods Notes: Initial Certification review required effective 1/1/12. Not Applicable Skilled Nursing Facility Stays
More informationAnesthesia Processing Guidelines
Anesthesia Processing Guidelines Policy Number: 10.01.511 Last Review: 5/2018 Origination: 10/1988 Next Review: 5/2019 Policy The following guidelines are utilized in processing anesthesia claims: 1) Anesthesia
More informationSubspecialty Rotation: Anesthesia
Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper
More informationASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES
ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES PACKAGE NAME TOTAL PACKAGE COST Prevention Package Male (below 40 years old)
More informationRADIOLOGY (Management)
ULTRASOUND BETA SCAN/ U/S ORBITAL 1600 Daily U/S WHOLE ABDOMEN (Abd + Pelvis) 1200 Daily U/S PELVIS 1200 Daily U/S ABDOMEN 1200 Daily U/S BREAST 1800 Daily U/S FOLLICULAR STUDY 3000 Daily U/S FOLLICULAR
More informationLABETTE COMMUNITY COLLEGE BRIEF SYLLABUS. Please check with the LCC bookstore for the required texts for this class.
LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS SPECIAL NOTE: This brief syllabus is not intended to be a legal contract. A full syllabus will be distributed to students at the first class session. TEXT AND SUPPLEMENTARY
More informationAnthem Central Region Clinical Claims Edit
Please compare the claim's date of adjudication to the range of the edit in question. Prior versions, if any, can be found below. Subject: Different Services with Anesthesia Services Edit #785 Effective
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Medical Review Team s Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on
More information5101: of 5 APPENDIX B. Revenue Center Codes Requiring CPT or HCPCS Coding
ACTION: Final ENACTED Appendix 5101:3-2-21 DATE: 03/17/2011 1:51 PM 5101:3-2-21 1 of 5 IV Therapy 0260 General Classification 0261 Infusion Pump 0269 Other IV Therapy Oncology 0280 General Classification
More informationBasics of Interventional Radiology Coding 2018
Basics of Interventional Radiology Coding 2018 Prepared and Published By: MedLearn Publishing A Division of MedLearn Media, Inc. 445 Minnesota Street, Suite 514 St. Paul, MN 55101 1-800-252-1578 medlearnmedia.com
More informationMedica Health Plans. Minnesota Fee Schedule Revised 5/1/2016 NEW PATIENT EXAMS: MN Medicaid. Medicare
Medica Health Plans Minnesota Fee Schedule Revised 5/1/2016 NEW PATIENT EXAMS: 99201 Problem focused history and examination --straightforward $23.48 100% of CMS $29.53 99201.25 Problem focused history
More informationREVENUE CODE LIST REQUIRING CPT/HCPCS CODES FOR OUTPATIENT FACILITY CLAIMS
REVENUE CODE LIST REQUIRING CPT/HCPCS CODES FOR OUTPATIENT FACILITY CLAIMS For Providers Effective July 15, 2018 Revenue Code Description 240 All inclusive ancillary, general 250 Pharmacy 251 Drugs, generic
More informationEmergency Room Skills Checklist
_ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values
More information2012 CPT Changes Affecting Radiology REVISIONS
2012 CPT Changes Affecting Radiology REVISIONS 22520 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection; thoracic 22521 lumbar 22522
More informationBasics of Interventional Radiology Coding 2017
Basics of Interventional Radiology Coding 2017 Prepared and Published By: MedLearn Publishing A Division of Panacea Healthcare Solutions, Inc. 287 East Sixth Street, Suite 400 St. Paul, MN 55101 1-800-252-1578
More information2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization
2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization Medical services that require Prior Authorization Type of Service Requires PA Coding All Out of Network services
More informationWe Accept Care Credit
We Accept Care Credit Standard Fee Schedule Valid 1-Jan-18 to 1-July-18 **Prices Subject to Change, Call 702-222-3544 For Verification** Exam CPT PAYMENT IN FULL AT TIME OF SERVICE EKG 93000 35 TREADMILL
More informationAnesthesia Processing Guidelines
Anesthesia Processing Guidelines Policy Number: 10.01.511 Last Review: 5/2014 Origination: 10/1988 Next Review: 5/2015 Policy The following guidelines are utilized in processing anesthesia claims: 1) Anesthesia
More information73725x2 MRA Pelvis Runoff (to ankle) CTA Abdomen with & without CTA Cardiac Brain without 70551
CT CT Myelogram MRI Abdomen without 74150 Cervical 62302 Abdomen / MRCP 74181 Abdomen with 74160 Thoracic 62303 Abdomen / MRCP with & without 74183 Abdomen with & without 74170 Lumbar 62304 Abdomen / Pelvis
More information(31189) Hypothermia Initiation Phase One
Hypothermia Initiation Phase One Diagnosis Allergies For hypothermia tracking purposes only. Please do not uncheck.- Required Cardiac Emergency Tracking For hypothermia tracking purposes only. Consults
More informationTable of Contents: Unit I: Respiratory System
Table of Contents: Unit I: Respiratory System SECTION ONE: Airway 1. Cricothyroidotomy: Assist 2. Endotracheal Tube: Care and Suctioning 3. Endotracheal Tube: Taping 4. Extubation: Assist 5. Intubation:
More informationCost and Quality Information for Health Care Consumers Required by 2009 Wisconsin Act 146
Cost and Quality Information for Health Care Consumers Required by 2009 Wisconsin Act 146 Page 1 of 6 2009 Wisconsin Act 146 seeks to make health care costs and charges clearer to consumers. It requires
More information2013 FINAL - Physician Payment Rates
ASC/Hospital) Injection, therapeutic (eg, local anesthetic; corticosteroid), 20526 carpal tunnel $74.88 $56.50 $76.55 $56.48 2.2% 0.0% tendon sheath, ligament injection 20550 $57.18 $40.85 $58.52 $41.17
More informationCPT 2015: Prepare Your Coding Practice For New Codes As Technology Makes An Advance
2015 Radiology Coding Survival Guide Section X : 2015 Coding Updates CPT 2015: Prepare Your Coding Practice For New Codes As Technology Makes An Advance Watch for changes in Vertebral fracture assessment,
More informationUpdated January 2, 2018
Service Charges Updated January 2, 2018 Important Notes:! Service charges and availability are subject to change.! No show and late charges may also apply.! What you pay out-of-pocket is dependent on your
More informationAnesthesia Cross Coder. Essential links from CPT codes to ICD-9-CM and HCPCS codes
Anesthesia Cross Coder Essential links from CPT codes to ICD-9-CM and HCPCS codes 2009 Contents Introduction... i CPT Anesthesia to Procedure Crosswalk...i Format...i Icon Key...ii CPT Codes...ii Code
More informationService Provider Department Phone Number
Service Provider Department Phone Number A Activities of Daily Living Occupational Therapy Rehabilitation Services 734-593-5620 Adaptive Equipment - home Occupational Therapy Rehabilitation Services 734-593-5620
More informationPediatric Outpatient Surgery Plan - Diagnostic/Pre-Op Orders
Pediatric Outpatient Surgery Plan - Diagnostic/Pre-Op Orders Diagnosis Weight PHYSICIAN S Allergies Admit/Discharge/Transfer Request for Outpatient Services Location: Outpatient Surgery Communication Misc
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Frequency Editing NY Policy: 0016 Effective: 05/01/2015 08/16/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationRegions Hospital Delineation of Privileges Pediatrics
Regions Hospital Delineation of Pediatrics Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training
More informationAnthem Midwest Clinical Claims Edit
Please compare the claim's date of adjudication to the range of the edit in question. Prior versions, if any, can be found below. Subject: Noninvasive Ear or Pulse Oximetry with Evaluation and Management
More informationResuscitation Patient Management Tool May 2015 MET Event
OPTIONAL: Local Event ID: Date/Time MET was activated: Time Not Documented MET 2.1 Pre-Event Pre-Event Tab Was patient discharged from an Intensive Care Unit (ICU) at any point during this admission and
More informationADI Procedure Codes. August 2016 Revised April 2017 Page 1 of 7 ADI Procedure Codes
Code Description 70450 CT Head without contrast 70460 CT Head with contrast 70470 CT Head with & without contrast 70480 CT Orbit, et al without contrast 70481 CT Orbit, et al with contrast 70482 CT Orbit,
More informationESCOME Pre-Course Outline (v1.09)
ESCOME Pre-Course Outline (v1.09) 1. Basics of Spinal Disorders Introduction to Spinal Surgery Spinal Anatomy Introduction to Vertebral Anatomical Concepts Anatomy and Function of Joints and Ligaments
More informationDelineation Of Privileges Pediatric Privileges
PEDIATRIC CORE PRIVILEGES Criteria a) Active licensure to practice in the state of California b) Current board certification or active participation in the examination process leading to certification
More informationVANDERBILT UNIVERSITY MEDICAL CENTER APPLICATION FOR SPECIAL PRIVILEGES ADVANCED PRACTICE PROVIDER PROFESSIONAL STAFF WITH PRIVILEGES (PSP)
FOR ADVANCED PROCEDURE S Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted only upon evidence of initial and ongoing
More informationStepdown Skills Checklist
Stepdown Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application
More information2018 ASC FINAL Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 62263 62264 62268 62269 62270 62272 62273 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
More informationPrior Authorization List Effective February 2, 2015
Prior Authorization List Effective February 2, 2015 Prior authorization is required for the following services. Prior authorization is the responsibility of the provider ordering or rendering services
More informationSt Mary s Hospital Patient Pricing Information
St Mary s Hospital Patient Pricing Information The below charges represent Hospital charges only. These charges do not include charges for services provided by physicians or advanced practitioners (ex.
More informationAnesthesia. Chapter 16. CPT copyright 2010 American Medical Association. All rights reserved.
Anesthesia Chapter 16 1 CPT Copyright CPT copyright 2010 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned
More informationProprietary Acute Care Indicators
Proprietary Acute Care Indicators Indicator 1a: Device-Associated Infections in the Intensive Care Unit Central Line-Associated Bloodstream Infections in the APICU, CCU, MICU, M/S ICU, & SICU Ventilator-Associated
More informationBasic Categories of Diagnostic Tests
Basic Categories of Diagnostic Tests Those that measure performance heart rate, lung function, visual acuity Those that use hollow tubes and fiber optics to look inside the body directly Endoscopy Those
More informationMD (Anaesthesiology) Title (Plan of Thesis) (Session )
S.No. 1. To study the occurrence of postoperative hyponatremia in paediatric patients under 2 years of age 2. Influence of timing of intravenous fluid therapy on maternal hemodynamics in patients undergoing
More informationOrthopedic Admission Hip Fracture Version 2 1/25/2017
Patient Name: Initial each page and Sign/Date/Time last page Diagnosis: Allergies with reaction type: Orthopedic Admission Hip Fracture Version 2 1/25/2017 Patient Placement Patient Status If the physician
More informationENG. Price list of self-pay services DIAGNOSTIČNI CENTER BLED
ENG 02 Price list of self-pay services Effective as of 1 th January 2018 DIAGNOSTIČNI CENTER BLED D I A G N O S T I C C E N T R E 1 MEDICAL CARE MEDICAL CARE above-standard full-day 90,00 MEDICAL CARE
More informationURBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:
URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION: Procedures This list is provided as a guide to most of the procedures you might be exposed to during your training. There is no expectation
More informationEXAMS_ Page 1/5 SORTED - NUMERIC
BIOPSY 19103L-MR MV MR Guided Breast Biopsy, Vac Assist - LT 19103, 77021, 10022, 19295, 90772, A4550, 99000 19103L-ST MV Stereotactic Breast Biopsy, Vac Assist - LT 19103, 77031, 10022, 19295, 90772,
More information2019 ASC FINAL Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 22869 27279 62263 62264 62268 62269 62270 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
More informationManaged Physical Network, Inc.
MPN DC FEE SCHEDULE EVALUATION AND MANAGEMENT 99201 New Patient Exam; Problem Focused $50.00 99202 New Patient Exam; Expanded $50.00 99203 New Patient Exam; Detailed $50.00 99204 New Patient Exam; Comprehensive
More informationPAIN MANAGEMENT CODES PRIOR AUTHORIZATION REQUIRED THROUGH EVICORE HEALTHCARE
PAIN MANAGEMENT CODES PRIOR AUTHORIZATION REQUIRED THROUGH EVICORE HEALTHCARE The following CPT/HCPCS codes for pain management require prior authorization through evicore healthcare. In order to request
More informationMEDICAL CODING FUNDAMENTALS
Medical Coding Fundamentals Goldsmith, Susan ISBN-13: 9780073374987 Table of Contents MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining
More informationSamaritan Hospital Patient Pricing Information
Samaritan Hospital Patient Pricing Information The below charges represent Hospital charges only. These charges do not include charges for services provided by physicians or advanced practitioners (ex.
More informationHEALTH CHOICE GENERATIONS HMO SNP CHIROPRACTIC SERVICES FACT SHEET
HEALTH CHOICE GENERATIONS HMO SNP CHIROPRACTIC SERVICES FACT SHEET - 2018 The purpose of this document is to detail the difference between medical and supplemental chiropractic services and the billing
More information2019 ASC Proposed Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 22869 27279 62263 62264 62268 62269 62270 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
More informationThe Human Body. Lesson Goal. Lesson Objectives 9/10/2012. Provide a brief overview of body systems, anatomy, physiology, and topographic anatomy
The Human Body Lesson Goal Provide a brief overview of body systems, anatomy, physiology, and topographic anatomy Medial Lateral Proximal Distal Superior Inferior Anterior Lesson Objectives Explain the
More informationJan 30, Dear Provider:
Jan 30, 2015 Dear Provider: Kern Health Systems strives to provide quality and timely services to our members. Recently, KHS made changes to the services included on Prior Authorization Needed list. The
More informationReimbursement Guidelines for Pain Management Procedures 1
GE Healthcare Reimbursement Guidelines for Pain Management Procedures 1 April 2015 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and payment for pain management procedures
More informationSage Program Reimbursement Rates (Effective Jan 1, 2018 through Dec 31, 2018)
Sage Program Reimbursement Rates Code Description of Service Allowable Rates New Patient 99201 History, exam, straight forward decision-making; 10 $44.47 99202 Expanded history; exam, straightforward decision-making;
More information