CY2022 Medicare Hospital Outpatient (OPPS) And Physician . - Medtronic
CY2022 Medicare hospital outpatient(OPPS) and physician (MPFS)updates & changesCardiac rhythm & heart failure, cardiac catheter ablations, and cardiac diagnostic services(based on Final Rules & updates from December 2021 legislation)Updated January 31, 2022Medtronic Economics, Reimbursement, & Evidence
DisclaimerMedtronic provides this information for your convenience only. It does not constitute legal advice or a recommendationregarding clinical practice. Information provided is gathered from third-party sources and is subject to change without noticedue to frequently changing laws, rules and regulations. The provider has the responsibility to determine medical necessityand to submit appropriate codes and charges for care provided.Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicareor other payers as to the correct form of billing or the amount that will be paid to providers of service. Please contact yourMedicare contractor, other payers, reimbursement specialists and/or legal counsel for interpretation of coding, coverage andpayment policies.This document provides assistance for FDA approved or cleared indications. Where reimbursement is sought for use of aproduct that may be inconsistent with, or not expressly specified in, the FDA cleared or approved labeling (e.g., instructionsfor use, operator’s manual or package insert), consult with your billing advisors or payers on handling such billing issues.Some payers may have policies that make it inappropriate to submit claims for such items or related service.2Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
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CY 2022 Medicare outpatient & physician fee schedule updates & changesTable of Contents123456OPPS/ASCexecutive summaryMPFSexecutive summaryChanges for cardiaccatheter ablationsChanges for practiceexpensesQ&AResources 4OverviewPayment ratechanges OverviewPayment ratechanges DetailedresponsesFollow upinformationMedtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details WebsiteinformationContacts
CY2022 updates for Medicare OPPS/ASCfee scheduleExecutive summary, Final Rule & updates from December 2021 legislation
Medicare hospital outpatient updatesChanges to the Inpatient Only (IPO) listBackground Established in CY 2000 Created to identify servicesthat require inpatient care dueto:– Invasive nature of the procedure– Need for at least 24 hours of post-opcare– Underlying condition of the patient1Changes in CY 2021 Phased elimination over 3years Complete elimination by CY2024 Began with removal of nearly300 musculoskeletal-relatedservicesChanges in CY 2022 Reinstatement of IPO list Cite patient safety concerns CY2021 policy would haverequired CMS to establishedoutpatient payment rates forapproximately 1,740 inpatientservices Also scales back the significantexpansion of surgeries payablewhen performed in ASCs1 pdf/2020-17086.pdfOPPS/ASC Final rule page ulations-and-notices/cms-1753-fc6Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Medicare hospital outpatient rate changesCY 2021 to CY 2022 summaryThis highlights the percent of change in payment for major cardiac rhythm and heart failure, and cardiac catheter ablation therapies between OPPS 2021 paymentyear at 2022 payment year. This is the payment rate of all the major APC associated with the typical case for the procedures below. The appendix will walk youthrough APC-specific changes. For information on which procedures will fall into these categories for purposes of this summary, please contact Medtronicreimbursement customer support team.ICD & CRT-DsystemLeadless pacemakersTransvenouspacemakers 2.2% 2.1% 2.1% 2.2% 2.1% 2.2%Subcutaneous cardiacrhythm monitorsCardiac ablationproceduresCRT-PsystemNote: Percent change in payment for select procedures between the OPPS 2021 payment year and 2022 payment year depicted; categories represent a blend of all MS-DRGs associated with the typical case for the select proceduresOPPS/ASC Final rule page ulations-and-notices/cms-1753-fc7Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Medicare ASC updates & changesCY 2022 summaryNew ASC process for procedure code nominations: External entity can nominate a procedure to beadded to the ASC list Surgical, not ancillary Nominations start in March CMS will review, and if approved, place infollowing year’s proposal255Procedures removed fromthe ASC-approvedprocedure list, including:33244CPT code for transvenousremoval of an ICD t-system-and-ambulatory-surgical-center-0CPT codes and descriptions only are copyright 2021 American Medical Association. All rights reserved. No fee schedules are included in CPT. The American Medical Association assumes no liability for data contained or not contained herein8Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Medicare ASC updates & changesCY 2022 summaryUse of claims data CMS will exercise greater flexibility in the use ofclaims data to determine whether proceduresshould be recognized as device-intensive Will use CY2019 data for CY2022 rate-setting68APCs designated asC-APCs823Ambulatory 09Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
CY2022 updates for Medicare physician feescheduleExecutive summary, Final Rule & updates from December 2021 legislation
Medicare physician fee schedule updatesCY 2022 conversion factor – based on MPFS Final RuleConversion factor (CF) is the number of dollars assigned to an RVU.Consolidated Appropriations Act legislative increase and budget neutrality of 3.75% will expirein CY 2022.CY 2021 CF 34.8931Statutoryupdate factor0.0%CY 2021legislativeincrease3.75%CY 2022ConversionFactor 33.5983(based on Final Rule)PFS Federal Regulation Notices. ces/cms-1751-f11Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
December 2021 legislation mitigates overall physician fee schedule payment cutsProtecting Medicare and American Farmers from Sequester Cuts Act (S. 610)NewlegislativeactionSigned Dec 10, 2021A 3% Medicare paymentboost for physicians, thusmitigating the 3.75%payment cut from theMPFS final ruleDirect feescheduleimpactOtherlegislativeimpactsMoratorium on 2%sequestration cuts throughMarch 31, 2022Restoration of 1%sequestration cut April 1,2022 through June 30,2022This is not intended to be a full summary of the Protecting Medicare and American Farmers from Sequester Cuts Act.Reference: e-bill/61012Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Medicare physician fee schedule updatesCY 2022 summaryCode for remotedevice programming Effective July 1, 2021 Category III CPT Code 0650T New capability not described inany existing CPT codes Further information can befound on our reimbursementwebsiteTelehealth services Certain services added to theMedicare telehealth services list willremain on the list throughDecember 31, 2023 NOTE: Remote monitoring for CIEDpatients is distinct and separate fromtelehealthChanges to clinicallabor pricing Procedures with a high supply,device, and equipment costsand low clinical labor costs inthe physician setting will seedecreases First time in 20 years thesechanges have been madePFS Federal Regulation Notices. ces/cms-1751-f13Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Medicare physician fee schedule rate changesCY 2021 to CY 2022 summaryThis highlights the percent of change in payment for our cardiac therapy procedures between the Medicare Physician Fee Schedule 2021 payment year and 2022payment year. For information on which procedures will fall into these categories for purposes of this summary, please contact Medicare ReimbursementCustomer Support team. The rates below reflect an average decrease across the CPTs within that therapy (for insertion/implantation.)ICD & CRT-Dsystem–0.32%Subcutaneous cardiacrhythm monitorsLeadless pacemakers–0.80%Cardiac ablationprocedures(including mapping & ICE)Transvenouspacemaker system–0.33%CRT-Psystem–1.11% –30.38% –0.39%Note: Percent change in payment for select procedures between the OPPS 2021 payment year and 2022 payment year depicted; categories represent a blend of all MS-DRGs associated with the typical case for the select proceduresPFS Federal Regulation Notices. ces/cms-1751-f14Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
CY2022 MPFS changes for cardiac catheterablation procedureseffective January 1, 2022
How we got here: coding changes and revaluationRVUs for cardiac catheter ablation codes have not been updated in 8 years: in 2013 newcardiac catheter ablation codes were created to further differentiate procedure type, atthis time the codes underwent initial valuation1RUC evaluation can happen for a variety of reasons2: in this instance the coding andvaluation update was largely driven by timing, as noted above it had been 8 years sincecardiac catheter ablation codes were reviewed and updatedThis is all part of a standard process: The Centers for Medicare and Medicaid Services(CMS) and the American Medical Association (AMA) have standardized processes forrevising codes and payment methodologies3,41 TheMedicare Physician Fee Schedule (MPFS) CY2022 National payment rates based on information published in the MPFS final rule CMS-1751-FMedical Association 2022 RVS Update Process. ooklet.pdf. Accessed November 11, 2021.3 “The CPT Code Process.” American Medical Association, /cpt-code-process.4 “Lifecycle of a Code: How the CPT and RUC Process Works.” American Medical Association, 19 Mar. 2014, /lifecycle-code-how-cpt-and-ruc-process-works.2 American16Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
The descriptions of the primary procedure codes forSVT, VT and PVI cardiac catheter ablations have beensignificantly revised by the American MedicalAssociation (AMA) to include 3D mapping, intracardiacechocardiogram (ICE), and left atrial (LA) pacing.2021 codingPrimary ablation93653 936133D mappingPVI3D mapping9365393654mapping was bundled with VTprior to 2022LA pacing 93621-26Primary ablation936563D mapping 93613ICE 93662-26CPT codes and descriptions only are copyright 2021 American Medical Association. All rights reserved. No fee schedules areincluded in CPT. The American Medical Association assumes no liability for data contained or not contained herein.172022 coding 93621-26Primary ablationImpactThe services (mapping, ICE, and LA pacing) that werepreviously separately reportable are now combinedinto the primary procedure codes for cardiac catheterablation procedures.ProcedureLA pacingVTChangeSVT2022 procedure coding changesfor cardiac catheter ablation proceduresMedtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details9365493656
2022 procedure coding changesfor cardiac catheter ablation proceduresThe codes in the table below represent the changes made by the AMA. 2022 changes are in bold.CPT Code2022 DescriptionComprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of93653an arrhythmia with right atrial pacing and recording, and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundlerecording, when performed treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricularconnection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entryComprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of93654an arrhythmia with right atrial pacing and recording, and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundlerecording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording,when performedComprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters93656with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensionalmapping, intracardiac echocardiography including imaging supervision and interpretation, induction or attempted induction of an arrhythmiaincluding left or right atrial pacing/recording, right ventricular pacing/recording, and His bundle recording, when performedReference: CPT codes and descriptions only are copyright 2021 American Medical Association. All rights reserved. No fee schedules are included in CPT. The American Medical Association assumes no liability for data contained or not contained herein18Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
ChangeSVT2022 Medicare physician fee schedulerate changesfor cardiac catheterablation proceduresThe Centers for Medicare and Medicaid Services(CMS) has finalized updated paymentmethodology to align with the procedure codingdescription changes.1 CPTcodes and descriptions only are copyright 2021 American Medical Association. All rights reserved. No feeschedules are included in CPT. The American Medical Association assumes no liability for data contained or notcontained herein.2 2021 PFS Final Rule and updated legislation: es/cms-1734-f3 PFS 2022 Final Rule CMS-1751-F released January 24, 2022 es/cms-1751-f Updates to conversion factor from legislationpassed on December 10,2021 22a.19VTThese changes impact physician work relativevalue units (RVU’s) for physicians who utilize theprocedure relevant services that are no longerseparately reportable (3D mapping, ICE, LApacing).2021 yablation9365314.75 8533Dmapping 93613LA Pacing durecoding13Dmapping936543D mapping wasbundled with VTprior to 20222022procedurecoding12022 workRVU32022nationalunadjustedphysicianrate314.75 84819.75 1,13419.77 1,137936535.23 3032.10 11919.75 1,141Includes 3Dmapping, LApacing93654includes 3Dmapping, LApacingLA pacing 93621-262.10 119Primaryablation9365619.77 1,1453Dmapping 93613-265.23 303ICE 93662-261.44 115Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details93656Includes 3Dmapping,ICE
2022 Medicare hospital outpatient rate changesfor cardiac catheter ablation proceduresChangeThe Centers for Medicare and Medicaid Services(CMS) has finalized updated payment rule foroutpatient payment rates effective January 1, 2022.ImpactNationally, outpatient payments for cardiac catheterablations are increasing 2.1%.1CPT code2Brief description93650AV node ablation93653SVT ablation andcomplete EPS93654VT ablation andcomplete EPS93656PVI ablation for AF withTS puncture andcomplete EPSC-APC2021 nationalunadjustedrate32022 nationalunadjustedrate1%Change5212 6,078 6,208 2.1%5213 21,464 21,916 2.1%The OPPS 2022 National payment rates based on information published in the OPPS/ASC final rule CMS-1751-F and corresponding Addendum B table which was published on November 2, 2021.codes and descriptions only are copyright 2021 American Medical Association. All rights reserved. No fee schedules are included in CPT. The American Medical Association assumes no liability for data contained or not contained herein.3 The OPPS 2021 National payment rates based on information published in the OPPS/ASC final rule CMS-1736-FC and corresponding Addendum B table which was published on December 3, 2020.12 CPT20Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
2022 coding changes for cardiac catheter ablation proceduresVisit our 102(8 a.m.–5 p.m. CT, M–F)Link here for 2022 updates21Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
CY2022 MPFS practice expense changeseffective January 1, 2022
The direct PE inputs have to be adjusted down due to the largeincrease in clinical laborIllustrative examplePractice Expense Inputs arecalculated to remain budgetneutral year over year. Most years,there is no change significantenough to modify this calculation.The red box is illustrative of budgetneutrality of PE inputsCMS is finalized increasing clinicallabor for all codes. As this is asignificant change the PE inputsmust be adjusted to make itbudget neutral (fit back in the redbox); however, this is done byadjusting all the direct inputs notjust clinical laborClinical LaborClinical LaborSuppliesSuppliesEquipmentEquipmentCurrent Year PE InputsPE InputsPFS Federal Regulation Notices. ces/cms-1751-f23Large increase in Clinical LaborMedtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Final Medicare Physician Fee Schedule (MPFS) paymentsPractice Expense consists of three elements: Clinical Labor, Supplies and Equipment LINQ is considered a “Supply”Practice Expense RVU inputs are calculated to remain “budget neutral” from year to year acrossthe entire MPFS To increase one Practice Expense element (e.g., Clinical Labor), budget neutrality requires reductions in one ofthe other elements (e.g., Supplies)Clinical LaborSuppliesClinical LaborClinical rrent BudgetBudget with ImplementedChangedNeutral BudgetPFS Federal Regulation Notices. ces/cms-1751-f24Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
2022 MPFS changes for cardiac diagnostic servicesVisit our 102(8 a.m.–5 p.m. CT, M–F)Link here for 2022 updates25Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Q&A
Q&ACardiac catheter ablation1Do the changes for the ablation codes apply for all mapping, or only 3D mapping?2Is intracardiac echocardiography (ICE) included in all primary ablation procedure codes?3A patient had a repeat AF ablation on a different date? The pulmonary veins are still isolated.How do we bill for the second ablation?The mapping that has been added to the ablation codes for 2022 are specific to 3D mapping and doesnot impact other mapping procedures.No, intracardiac echocardiography was only added to the code description for ablation for atrialfibrillation by pulmonary vein isolation which is code 93656.Because the second ablation performed was not done by isolating the pulmonary veins, the code thatapplies is 93653 for supraventricular tachycardiaCPT 2022 Professional Edition27Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Q&ALeadless pacemakers4Is there specific information that is needed to be included on a leadless pacemaker physicianclaim for Medicare?5We have been getting denials for the national clinical trials (NCT) number on leadlesspacemaker claims to Medicare? Where does the NCT number go on the claim?6On the physician claim form, Medicare requires the Q0 modifier, the national clinical trials (NCT) number,and diagnosis code Z00.6 in a secondary position*.Note: The facility claim requires condition code 30 in addition to the three pieces of information requiredon the physician claim form.The NCT number goes in box 23. Medicare released a transmittal in 2014 on reporting clinical trialnumbers that stated the clinical trial numbers are reported in box 19 of the physician claim form. WhenMedicare released claim processing instructions for billing of leadless pacemakers, they stated the NCTnumber is reported in box 23. If the claims have the NCT number in 19, this could be the reason fordenials.How do we report the repositioning of a leadless pacemaker?There is not an established code that describes the reposition of a leadless pacemaker. In the absence ofa specific code, the unlisted procedure code 33999 with a description of the procedure performed wouldbe Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Q&ASubcutaneous cardiac rhythm monitors7We implanted a subcutaneous cardiac rhythm monitor in the physician’s office. Do we need toreport the device separately from the impact procedure?8With the new remote programming code (0650T), can we also bill for the remote interrogationon the same day?9Can an in-person programming evaluation be billed during the remote monitoring period?For Medicare, no. The device is included in the code for the implant 33285 and no additional codes needto be reported for the device. Check with other payers to determine if they require a separate code forthe device.No, the programming code includes the interrogation elements. Only the programming code should bereported*.Yes, in-person programming is a different service and can be billed during the remote monitoring period.However, in-person interrogation services cannot be billed during the remote monitoring period*.*CPT 2022 Professional Edition29Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Q&ACore devices10What is the KX modifier? We have been told that we need this on our Medicare pacemakerimplant claims.11We have been getting denials from Medicare on our ICD implants. Has anything recentlychanged wit hthe policy or coverage criteria?12The KX modifier is an attestation that the criteria from the policy have been met. The claim instructionsfrom Medicare for the pacemaker NCD state that the KX modifier is required for the conditions specifiedand additional conditions that are identified as covered by the local contractors. For that reason, theimplants of single or dual pacemakers require the KX modifier*.Medicare released a notice in 2021 that clarified some confusion about heart failure reporting in the NCDfor ICD implants. It stated that for the indications that include heart failure, the claim must have a heartfailure diagnosis as a secondary diagnosis even when the heart failure is well controlled. If there is not aheart failure diagnosis on the claim, Medicare will deny it**.Can we bill for peri-procedural programming codes both before and after the procedure, or canit only be billed once?Yes, it can be billed before and/or after the procedure or test is perfromed. When billed twice on thesame day, modifier 76 (repeat procedure by the same physician) or 77 (repeat procedure by a differentphysician) depending on which applies, would be needed on the second atabase/view/article.aspx?articleId pdf30Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
Q&ACore devices - upgrades13How do we bill for an upgrade from a single lead pacemaker to CRT-P?14How do we bill for an upgrade from a pacemaker to an ICD?15Our provider changed out a dual ICD with capping and replacing the atrial lead. How would wecode for that?This would be reported with codes 33214 and 33225.Note: An upgrade from a dual pacemaker to CRT-P is different because the only additional lead that isbeing placed is the LV lead that changes the coding for this scenario. A dual pacemaker to CRT-P woulduse codes 33229 and 33225.This scenario would be reported with 33233 for removal of the pacemaker generator, and 33249 forplacement of the new ICD generator and a new shocking lead.This scenario would be reported with 33241 for removal of the ICD generator, and 33249 for placementof the new ICD generator and new atrial lead. There are not codes for capping a lead.CPT 2022 Professional Edition31Medtronic Economics, Reimbursement, and Evidence CY2022 Medicare OPPS & MPFS Update January 2022 For information only, see disclaimer for details
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References
CY 2022 Medicare outpatient & physician fee schedule updates & changesReferencesCPT Reference:CPT copyright 2021 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS restrictions apply to government use. Feeschedules, relative v
Cardiac rhythm & heart failure, cardiac catheter ablations, and cardiac diagnostic services . This highlights the percent of change in payment for major cardiac rhythm and heart failure, and cardiac catheter ablation therapies between OPPS 2021 payment . "Lifecycle of a Code: How the CPT and RUC Process Works." American Medical .
This Hospital Outpatient Billing & Reimbursement Guide (OPPS) for Medicare Advantage is a modified version of the United Government Services Hospital Manual (January 2004). Modifications include: Types of hospitals that are included and excluded from OPPS reimbursement Types of services that are included and excluded in OPPS reimbursement
File Type: Fill In Blank (50 words Max) Repeat Steps from CY2022 Goal 1 for CY2022 Goal 2 & CY2022 Goal 3. Measurements that Support Goals Field Type: Check Box . Select all that apply . Program Evaluation Process File Type: Fill In blank (500 words max) Select one of the fo
website. For information on the OPPS status indicator definitions, refer to OPPS Addendum D1 of the Calendar Year (CY) 2020 OPPS/Ambulatory Surgical Center (ASC) final rule. Table 1. C. OVID-19 Laboratory Tests and Services and Other Laboratory Tests Codes HCPCS Code
Hospital Outpatient Prospective Payment System MLN Booklet Page 4 of 12 ICN MLN006820 March 2020 The Medicare Prescription Drug, Improvement, and Modernization Act of 2003. established these Medicare OPPS drug payment changes: Pays drugs separately at the average hospital acquisition cost. If hospital drug acquisition cost data
Centers for Medicare & Medicaid Services National Train‐the‐Trainer Workshops Instructor Information Sheet Module 1: Understanding Medicare Module Description Original Medicare, Medicare Advantage and Other Medicare Health Plans, and Medicare Prescription Drug Coverage are choices in the Medicare program.
Medicare 101: The Basics of Medicare. . Original Medicare, Medicare Advantage, and Medicare Cost plans Other COVID-19 related benefits are available if Medicare guidelines are met Those who are in a Medicare Advantage Plan should check . PowerPoint Presentation Author:
Hospital inpatient 11 Hospital outpatient, asc, physician 11 HCPCS supply code 15 Peripheral venous 16 Hospital inpatient 16 Hospital outpatient, asc, physician 16 HCPCS supply code 18 AV fistula – dialysis circuit 19 Hospital inpatient 19 Hospital outpatient, asc, physician 19 HCPCS supply code 21 Lead extraction and cardiac rhythm management 22
The Advanced Higher Biology question paper brief on the following page gives the structure of the SQA question paper , and the range of marks allocated to scientific problem-solving skills and knowledge and understanding. It gives the abbreviated codes for the knowledge and skills that are assessed. The question paper brief is a useful starting point to ensure that your questions have the .
