the same surgical code as the primary surgeon, appended with the AS modifier. Non-physician assistant surgeons: Modifier. Definition. Reimbursement %. AS.

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As of 07/01/2019 dates of service registered nurse/first assistants are reim-bursed as assistant surgeons at a rate equal to 85% of the assistant surgeon 14% allowable rate. Co-Surgery Co-surgery is reimbursed at 62.5% of the fee schedule/allowable amount. Team Surgery 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. 2019-10-01 Subject: Assistant Surgeon Services .

Humana assistant surgeon policy

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Stockholm Associate professor at Shiraz University of Medical Sciences laparoscopic surgeon ,advanced laparoscopic surgery. Iran. Consultant surgeon at Södra Älvsborgs hospital (SÄS). Södra Älvsborgs sjukhus, +2 Abdiwahid Osman Mukhtar.

. which was more than the primary surgeon charged.

Assistant Surgeon Indicator "2" is “2 = Payment restriction for assistants at surgery does not apply to this procedure. Assistant at surgery may be paid.” Procedure codes with a CMS assistant surgeon indicator of “0” are NOT eligible for assistant surgeon reimbursement upon initial adjudication of the claim.

AS. Humana Military Healthcare Services Inc specializes in General Medical And Surgical Hospitals. A passionate emphasis on people, choice, Rules and Regulations. Effective March 15, Dr. Please log in to the Humana Associate portal. 1 Jan 2020 Humana's medical coverage policies can be found here: Decompression of peripheral nerve (i.e., carpal tunnel surgery).

Humana assistant surgeon policy

1/1/2019 Policy Version Change Assistant-at-Surgery policy list updated History/Updates section: Entries prior to 1/1/2017 archived 4/1/1999 Policy implemented by UnitedHealthcare Employer & Individual . 121020_Assistant-at-Surgery Policy List_20210101.pdf

Humana assistant surgeon policy

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Cesarean Section 2016-08-01 · surgery, for assistant at surgery services performed by a physician and 13.6 percent for his/her employed physician assistant (PA), certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM). Note: Modifier AS must be appended to the claim line when reporting assistant surgery performed by an employed PA, CRNP and CNM. CPT codes 27215-27218 for the purpose of this policy. Assistant-at-Surgery Eligible List CMS Files For Download Louisiana uses a state defined list of procedures that allow for reimbursement for assistant surgery charges. Please see the Attachment section for the state defined list Physicians (MD/DO) 2008-10-24 · an assistant at surgery shall be the lesser of the actual charge or 85 percent of the amount that would otherwise be recognized if performed by a physician who is serving as an assistant at surgery. The payment methodology for these services has been codified in regulations found at 42 CFR 414.52(d) and 414.56(c). Per TRICARE policy, Humana Military is required to review and implement claim auditing software to ensure correct code processing on claims. As claims process, the coding is compared to the National Correct Coding Initiative Edits available through a third party vendor and will indicate the error rejecting the line of the claim with a reason code or message.
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Humana assistant surgeon policy

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When Co-Surgeon, Assistant Surgeon, Team Surgeon and Physician Assistant/Nurse Practitioner/Nurse Midwife services will be considered for payment Co-Surgeons Services by surgeons of different specialties or subspecialties each performing distinct components of a procedure as primary surgeons will be allowed at 120% of the maximum the assistant surgeon 16% allowable rate. As of 07/01/2019 dates of service registered nurse/first assistants are reim-bursed as assistant surgeons at a rate equal to 85% of the assistant surgeon 14% allowable rate. Co-Surgery Co-surgery is reimbursed at 62.5% of the fee schedule/allowable amount.
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This could reduce delays, rebilling and requests for additional information. 27215-27218 for the purpose of this policy. Assistant-at-Surgery Eligible Policy List CMS Files For Download Physicians (MD/DO) UnitedHealthcare's standard reimbursement for Assistant-at-Surgery services on the Assistant-at-Surgery Eligible List which are provided by a Physician is 16% of the Allowable Amount for eligible surgical procedures.