Medicaid Flashcards
What Medicaid doesn’t pay well for NMR?
Anthem
What are the collected amounts for new patient exams?
Em-29
EB- 53
EI- 79
EC- 112
What are the collected amounts for established exams?
ERm- 16
ERB- 31
ERI- 42
ERC- 67
What are the collected amounts for cervical X-rays?
CV7- 46
CV4- 37
CV2- 25
What is the collected amount for thoracic and lumbar views? Including XB4?
XT2- 26
XL2- 27
XB4- 33
What is the collected amount for adjustments including extra spinal?
ADJ1- 20
ADJ3- 26
Extra spinal- 19
How much does Is collected for IST from all Medicaid’s?
12$
How much is collected for TES from all Medicaid?
11$
Medicaid reimbursement for TUS is what?
9$
What is the reimbursement for TMS from all Medicaid’s?
11$
Which Medicaid pays the most for TRP and how much do they pay? How much does the rest pay?
Wellcare pays 17
The rest pay 13
What is the typical rate for TEX from Medicaid? Which one pays the most?
13$ is the normal
CareSource pays 20$
What is the typical reimbursement for NMR from Medicaid’s? Which one is the cheap Ass exception?
21 is the going rate. Anthem is the exception at 10$
What is the going reimbursement rate for SCH from Medicaid?
14$