Lump Sum Purchase of DME, Prosthetics, Orthotics

For injection codes with more than one possible TOS designation, use the following guidelines when assigning the TOS:
When the choice is P or 1,

• Use TOS P if the drug is administered through durable medical equipment (DME); or
• Use TOS 1 if the drug is administered in the office.

Diagnosis Related Group {DRG} Meaning

DRG is a system to classify hospital cases into one of Approximately 500 groups, also referred to as DRG'S expected to have similar hospital resource use. They have used in US since 1983. There is more than one DRG system being used in the United States, but only the MS-DRG system is used by Medicare. 

tags  :
diagnosis code meaning,

Types Of Insurance (Medical Billing)

Insurance Types

1 Federal Insurance

2 Private Insurance   3 Liability Insurance

lFederal Insurance:

l1. Medicare

l  * Part A (Hospital Insurance)

l  * Part B (Supplementary Medical Insurance)

l  * Part C (Medicare + Choice)

l  * Part D ( Prescription Drug)

l2. Medicaid

l3. CHAMPUS (Civilian Health And Medical Program for Uniform 

Services)

 

l4. CHAMPVA (Civilian Health And Medical Program of   

 Department of Veteran  Affairs)

 

lPrivate Insurance:

lMedigap

lIHP

lGHP

lLiability Insurance:

l* General Liability ( fire, house owner’s Risk, etc.,)

l* Auto Insurance

l* Workers Compensation