Diagnostic Labs & Radiology
This service is used to diagnose an illness or infection using body fluids or tissues
What are diagnostic labs?
Public or Private care to make a patients last days comfortable.
What is Hospice?
Services must be provided while the patient is confined to his or her residence due to an injury or disease.
What is home health care?
The treatment of diseases by means of chemical substances or drugs.
What is chemotherapy?
This is the artificial removal of waste from a patient's blood when the kidneys no longer function.
What is dialysis?
This is a number of lab tests combined into one.
What are lab panels?
Inpatient care, nursing care, home health aide services, doctor services, medications, and dietary counseling.
What are the covered hospice benefits?
A private agency, private organization, or a subdivision of an agency that provides skilled nursing services, maintains clinical records, has at least 1 physician and 1 registered professional nurse, and must be licensed and/or Medicare certified.
What is a home health agency?
Nausea, vomiting, alopecia (hair loss), skin rash, chills, fever, etc.
What are the possible side effects of chemotherapy?
Medicare coverage may end if the patient no longer requires regular dialysis treatments, or ___ months after the month of a kidney transplant.
What is 36 (months)?
This medical service uses radiology, sound waves, and nuclear imaging to view the inside of the body, including hard and soft tissues.
What is diagnostic radiology, x-ray, testing?
The duration of benefits for hospice care
What is six months?
Services include visitation by a licensed nurse (RN or LVN), physical, occupational, or speech therapists, medical social workers, medical supplies, durable medical equipment, and medications to carry out treatment.
What services are covered?
Injection, infusion, or oral means.
How is chemotherapy administered?
Dialysis and supply charges are part of this service if the patient is inpatient.
What are ancillary services?
Includes A1C, Complete Blood Count, Lipid, Prostate Antigen, Complete Metabolic Panel, Thyroid, and titers for vaccinations.
What are preventative labs?
Immediate family or other individuals with close ties to the patient
Who is eligible for bereavement services?
Medicare pays 100% of medically necessary home healthcare provided by a Medicare certified HHA.
What amount of home healthcare does Medicare cover?
This ensures the treatment is appropriate for the condition.
What is precertification by the Utilization Management Department?
This occurs when chronic kidney disease, the gradual loss of kidney functions, reaches an advanced state.
What is End Stage Renal Disease (ESRD)
A member will usually receive two separate bills for these services.
What is diagnostic labs and diagnostic imaging and x-rays?
When the patient is not receiving benefits at the time of death.
When are bereavement services available?
Name 2 services Medicare does not cover related to home healthcare.
See announcer
Q0080 - Q0085
J9000-J9999
What ae the procedure codes for chemotherapy?
Common PD or procedure codes are:
90918 through 90925
90935 through 90937
90945 through 99099
A4650 – A4999
and _________________
What is E1510 – E1699?