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Can a medical provider use modifier 32 for a visit with a work case manager?
Wiki User
∙ 11y ago
CPT Code Modifier 32 - Mandated Services: Services related to mandated consultation and/or related services (eg, third-party payer, governmental, legislative or regulatory requirement) may be identified by adding modifier 32 to the basic procedure.
Wiki User
∙ 11y ago
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In California is the employee responsible for medical bills resulting from the employer sending them to a company doctor for treatment of an injury that was not job related?
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What is medical billing code 9928425?
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{| |- | Preferred Provider Organization (also known as a PPO) is a managed care system that offers members health benefits and medical coverage based on a specific structure and network of medical professionals and facilities. PPOs are commonly sponsored by employers or insurance companies and help subsidize member medical costs. All doctors, hospitals, and health care providers involved in the network are selected by the preferred provider Organization to provide medical assistance and health care coverage to its members. PPOs encourage members to utilize the doctors and hospitals within the PPO network but do allow members to visit out-of-network medical services providers. PPOs cover more of your medical costs if you visit an in-network provider. However, if a member visits a doctor or medical facility that is not within the PPO network, he/she is not covered at the level the member would be if he/she visited an in-network provider. But Health Maintenance Organization (also called an HMO) is one of three managed care health insurance systems in the United States. An HMO is designed to offer financial support and medical treatment to plan members. Some managed care systems don't offer medical treatment themselves. Rather, they offer different levels of financial coverage based on whether you visit in-network or out-of-network care providers. HMOs, on the other hand, have a system of physicians and hospitals that are involved in a specific coverage structure. If you're part of a Health maintenance Organization, you are only covered if you go to a physician within the HMO network. |}
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