The Office of Personnel Management (OPM) has determined that Humana Attention: Assistant Director, FEIO Talk to your doctor about which hospital or clinic is best for your health needs. We have a benefit payment policy that e

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Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Limitations and exclusions This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans.

Refer to the Multiple Procedures policy. Cesarean Section 82 Assistant surgeon (when qualified resident surgeon not available) Health Care Professionals Oxford's standard reimbursement for Assistant-at-Surgery services on the Assistant-at-Surgery Eligible List which are provided by a Health Care Professional is 14% of the Allowable Amount for the surgical procedures. This percentage is based on CMS. 2021-01-01 · Assistant Surgery Not Medically Necessary (NMN) Last Updated 01/01/2021 Assistant surgery will be denied as not medically necessary for codes on the following list, unless indicated otherwise. Note: The presence of a code on this list does not guarantee its medical necessity and/or coverage. Acknowledgement: Assistant-at-Surgery Policy Page 2 of 10 UnitedHealthcare Oxford Reimbursement Policy Effective 01/01/2021 ©1996-2021 Oxford Health Plans, LLC REIMBURSEMENT GUIDELINES Multiple Procedures If an Assistant-at-Surgery submits multiple procedure codes, multiple procedure reductions will apply.

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This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a … Humana Claim Payment Policy Updates. March 2019 ~ Humana has released four updated medical claims payment policies, which includes changes to its screening colonoscopy, Medicare opt-out, Modifier 78, and Modifier EY policies. These updates can be seen below. Screening Colonoscopy Medicare Advantage and Commercial Payment Policy Assistant Surgeon Policy Page 2 of 4 UnitedHealthcare Oxford Reimbursement Policy Effective 02/01/2018 ©1996-2018 Oxford Health Plans, LLC REIMBURSEMENT GUIDELINES Multiple Procedures If an Assistant Surgeon submits multiple procedure codes, multiple procedure reductions will apply. Refer to the Multiple Procedures policy. Cesarean Section 82 Assistant surgeon (when qualified resident surgeon not available) Health Care Professionals Oxford's standard reimbursement for Assistant-at-Surgery services on the Assistant-at-Surgery Eligible List which are provided by a Health Care Professional is 14% of the Allowable Amount for the surgical procedures. This percentage is based on CMS. CPT codes 27215-27218 for the purpose of this policy.

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Humana assistant surgeon policy

11/13/18: The AS modifier should be reported by Nurse Midwives, Physician Assistants & Nurse Practitioners when performing surgical services as an Assistant Surgeon. Nurse Midwives should bill the SB modifier for non-surgical services. Policy created to reflect most current clinical evidence per Medical Policy Steering Committee.

Humana assistant surgeon policy

Policy History 06/01/2019 New policy template Surgeon General, Deputy Surgeon General, Assistant Surgeons General and to active duty Regular Corps officers of the Commissioned Corps of the U.S. Public Health Service who hold the Permanent Director grade (O-6). These authorities may not be re-delegated. a. CCI 231.01 of the electronic Commissioned Corps Issuance System (eCCIS), formerly • Modifier 47 is used to report anesthesia by the attending or assistant surgeon. No additional benefits are allowed above the total allowed for the surgical procedure if the anesthesia services are not administered by, or under the supervision of, a doctor other than the attending surgeon or assistant surgeon.

Humana assistant surgeon policy

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Materials and methods: We investigated operative time, blood loss, setup time, length of hospital stay, and the number of participating surgeons in 273 laparoscopic colorectal resections, including 130 cases with human assistant (HA group) and 143 cases with Soloassist (SA group).

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