PSM Staff Facts
To Vet or Not To Vet
Medicare Rules
CPT Codes
100

This PSM employee is terrified or Roller Coasters

Who is Rikki?

100

A ref dr ordered a CT IVP W/. Do you vet or not vet?

What is Vet?

100

We received an order for a NON PECOS dr, Medicare patient is adamant about being seen tomorrow, How do you proceed?

What is offer cash rate or wait for a new order. If patient wants to go thru insurance DO NOT schedule until we get a new order from a PECOS dr.

100

CPT Code for MRI Left Knee W/O

What is 73721?

200

This PSM employee was on live TV

Who is Lili?

200

Ref dr orders MRI pelvis W+W/O with a diagnosis of Prostate cancer. Do you vet or not vet?

What is NOT Vet

200

What is the common prefix for a Blue Cross Medicare Takeover?

What is MBL?

200

CPT Code for for US TA/TV

What is 76856/76830?

300

This PSM employee has an extra vertebrae

Who is Shelby?

300

Exam is missing a diagnosis. Do you vet or not vet?

What is NOT vet, techs do not follow up on diagnosis, ask patient while they are on the phone and call the ref dr.

300

Once the deductible has been met, what is the coinsurance for medicare?

What is 20%?

300

CPT Code for CT ABD PEL W/O

74176

400

This PSM employee loves crime documentaries

Who is Nicole?

400

45 year old patient states they are experiencing pain in their breasts. You scheduled a DX MG and an US, Do you Vet or not Vet?

What is NOT Vet. Techs do not need to verify. If you aren't sure, ask your team for help.

400

How often can a Medicare patient have DEXA/QCT?

What is every 2 years? Medicare patients can only have one DEXA/QCT every 2 years and they *must* use a billable NCD. 

400

CPT Code for Screening MG

What is 77067

500

This PSM employee played co-ed roller hockey as an adult

Who is Pam?

500

Ref dr is requesting a PET skull to mid thigh with a lung cancer DX. Do you Vet or NOT vet

What is Vet? All Pets need to be sent to TV

500

Patient Robert Jones goes by Bobby Jones. On medicare it shows Robert Jones, but his order states Bobby Jones, How should patients name be inputed in our system?

What is Robert Jones. We have to match what Medicare has.

500

CPT Code for for Carotid US

What is 93880

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