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Durable Medical Equipment (DME)
Nov 15, 2015 · Durable medical equipment (DME) is equipment that can withstand repeated use, is primarily and customarily used to serve a medical purpose, generally not useful in the absence of illness or injury, appropriate for use in the home or inpatient setting and not intended for sport-related or vocational purposes.
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Medical Policy In Vitro Fertilization (IVF) and Other ...
www.harvardpilgrim.orgCoverage described in this policy is standard under most HPHC plans. Specific benefits may vary by product and/or employer group. Please reference appropriate member materials (e.g. Benefit Handbook, Certificate of Coverage) for member-specific benefit information. Medical Policy In Vitro Fertilization (IVF) and Other Fertility Services MA
PRACTICE GUIDELINE FOR THE Treatment of …
www.harvardpilgrim.orgPRACTICE GUIDELINE FOR THE Treatment of Patients With Obsessive-Compulsive Disorder WORK GROUP ON OBSESSIVE-COMPULSIVE DISORDER Lorrin M. …
Medicare Advantage Prior Authorization Request Form — Fax ...
www.harvardpilgrim.orgHarvard Pilgrim Health Care—StrideSM Medicare Advantage Provider Manual 1 July 2021 Medicare Advantage Prior Authorization Request Form — Fax: 866-874-0857 Instructions: Please use this form only for the services and procedures listed on the second page (see
Non-Covered Services - Harvard Pilgrim Health Care
www.harvardpilgrim.org22857 Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace Provider liable — procedure code not eligible for payment 22862 Revision including replacement of total disc arthroplasty
Radiology - Harvard Pilgrim Health Care
www.harvardpilgrim.orgRadiology Services include the study of images of the human body performed by a radiologist using different ... • Payment for routine contrast material is included in the global inpatient rate and outpatient reimbursement rate. ... • Global radiology services to a physician when performed in a hospital inpatient/outpatient location.
APPEALS Filing Limit Appeals - Harvard Pilgrim Health Care
www.harvardpilgrim.orgHarvard Pilgrim is 365 days from the date of the cancellation, denial, or partial payment of the primary insurer to resubmit a claim to Harvard Pilgrim as a secondary carrier. (This only applies when Harvard Pilgrim is the secondary carrier.)
COVID-19 TESTING, TREATMENT & VACCINE CODING
www.harvardpilgrim.orgM0221) is considered a preventive service. As of 3/1/22, U07.1 and Z20.828 will not be required for cost share to be waived. Modifier 33 should be appended to indicate a preventive service. *see information above on cost-sharing policies by product and state
CPT and HCPCS Level II Modifiers - Harvard Pilgrim Health …
www.harvardpilgrim.orgDec 03, 2018 · CPT and HCPCS Level II Modifiers 1. The presence or absence of one of the following modifiers may affect claims payment or result in a claim denial. For a complete list of modifiers, refer to your CPT and HCPCS coding guideline manuals. Harvard Pilgrim accepts up to four modifiers per line. Modifier Description Reimbursement Impact
Physical, Occupational, and Speech Therapy
www.harvardpilgrim.orgDec 15, 2017 · 01/01/12 removed First Seniority Freedom information from header . 11/15/12 annual review; minor edits . 12/15/13 annual review; added clarification for billing timed codes . 01/15/14 annual coding update; removed 92506, deleted code effective 1/1/2014
Referral/Authorization Quick Reference Guide for ...
www.harvardpilgrim.orgo Extended visits (> 45-50 minutes/session) A A MRC AP: Contact Harvard Pilgrim Behavioral Health Access Center at 888-777-4742. SERVICE HMO and In- ... Neonatal Intensive Care — Notification is required for all non-routine newborn care (level ll - lV) admissions on or after date of service 04/15/17.
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LIFEPAK 15 MONITOR/DEFIBRILLATOR
www.physio-control.com10 Maintaining the Equipment ... The LIFEPAK 15 monitor/defibrillator is intended for use by trained medical personnel in out-of- ... The defibrillator delivers up to 360 joules of electrical energy. Unless properly used as described in these operating instructions, this electrical energy may cause serious ...
Electrical installation handbook Protection, control and ...
library.e.abb.comtransmission, distribution and use of electrical power, such as machines, transformers, devices, measuring instruments, protection devices and wiring materials. The following categories are outside the scope of this Directive: • electrical equipment for use in an explosive atmosphere; • electrical equipment for radiology and medical purposes;
Your Guide to Medicare's Durable Medical Equipment ...
www.cms.govMedicare’s Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS): • Changes the amount Medicare pays for certain DMEPOS items • Determines who can supply these items to you Under this program, suppliers submit bids to provide certain medical equipment and supplies .
MANAGING THE LIFECYCLE OF MEDICAL EQUIPMENT
www.thet.orgWhen purchasing (medical) equipment, care providers should budget and plan for all cost hidden under water level; Purchasing costs cover only a minor part of the total cost of ownership. The Hippo model is an alternative way of depicting the iceberg, which can be found on p.10 of the Donations Toolkit p.10
PERSONAL PROTECTIVE EQUIPMENT (PPE) – BODY …
ehs.unl.eduPERSONAL PROTECTIVE EQUIPMENT (PPE) – BODY PROTECTION _____ This SOP provides information on the selection and use of outer garments, such as suits, chaps, vests, sleeves, coats, etc., to protect the body from injury. Specialized operations, such as PPE to protect against electrical shock/arc flash, are beyond the scope of this SOP. Body Hazards
New York Knee Injury Medical Treatment Guidelines
www.wcb.ny.govNew York Knee Medical Treatment Guidelines Third Edition, September 15, 2014 1 GENERAL GUIDELINE PRINCIPLES The principles summarized in this section are key to the intended application of the New York State Medical Treatment Guidelines (MTG). Medical Care MEDICAL CARE Medical care and treatment required as a result of a work-related injury