Medicare HCPCS code lookup

If you are a neurology coder, you will encounter various HCPCS coding challenges.

Situation: If your neurologist uses a botulinum toxin to interrupt pain signals in a patient’s limbs, neck or back, Dysport is one of the three toxins he may go for. Each of these drugs has its own J code and Dysport’s HCPCS code is J0586.

You will see in the code description a mention of five units. When reporting J0586, remember that the number of the drug units injected is crucial to coding. As such, if your neurologist injected 100 units of onabotulinumtoxinA into a patient’s right splenius capitis muscle, and 100 units into the right sternocleidomastoid muscle, you should go for 40 billing units of service for J0586 – that’s 200 divided by 5 or the total number of units of the toxin injected divided by the number of units described by the HCPCS code. Prior to this year, you reported Dysport using J3490.

You shouldn’t forget: Your neurologist should document clearly the amount of botulinum toxin injected and the specific muscles injected. If there’s any unavoidable wastage, there should also be documentation of the exact amount wasted. You will report the wasted amount by appending modifier JW. The reason is that botulinum toxin’s shelf life is normally considered to be only four hours after reconstituting or opening; therefore the rest should be discarded.

For more information on neurology coding and HCPCS codes, sign up for a one-stop Medical coding website. When you go for one, you can do a Medicare HCPCS code lookup and get all that you need to know about HCPCS codes and how it affects your neurology coding.

What Makes Up an Effective Weight Loss Program?

Are you searching for a Weight Loss Program so you can lose weight and then tone up afterward or maybe you just need an Effective Weight Loss Program to complete your active daily life!!!

There are numerous reasons for wanting to lose that excess weight:

o You just had a wonderful baby!!

o You’ve always been a little heavy and just do not know where to start!!

o You broke up or went through a divorce and want to show he or she what they are missing!!

o When you eat you indulge yourself to much!!

o You have a job where you are just not very active or have a lot of stress!!

Most people ask themselves:

o What is the best way to lose weight?

o What are the best programs?

o What is the best way to kick your program into high gear?

Finding the best programs for you can be quite challenging as there is hundreds of programs online today.

Unfortunately a lot of people have fallen prey to FAD Diets and have to force themselves to stay on it, because of this they are not finding the long term success they are looking for. Their weight starts to go up and down over and over (the yo-yo effect), they lose weight and then rebound. When a person rebounds from starving themselves, they will often gain back more weight than they lost. This is extremely frustrating and for most they just give up for the time being or all together.

The most Effective Weight Loss Program gives you flexibility and control instead of imposing one rigid system, this results in the safest and best way to lose weight. Today’s Weight Loss Programs are more flexible than they use to be, but even the most Effective Weight Loss Program require a commitment that you should make in many areas of your life and it is likely a commitment that needs to be made over long term to eliminate possibilities of the weight returning.

One problem to be aware of is called Weight Loss Plateau, most of us have experienced this at one time or another. Our bodies have what is called a “Body Weight Set Point” this is a weight your body is use to being at and tries to stay at. To break this you need to readjust program diet or work out routine. Drop your weight 5-15lbs below your body weight set point then you will need to keep it there for 3-4 weeks. This causes your body to reset and begin looking for a new set point (weight).

Remember to always eat, a good Program will most likely break your meals up so that you eat 3-6 times daily but in smaller portions. Should your program utilize a work out routine, remember a quality work out does not require going to the gym or working out at home for hours on end, instead a quality workout only requires 30-60 minutes a day, every other day or maybe even just two times a week to compliment your Weight Loss Program.

If you have been looking in the mirror and you are not happy with the way you look then do something about it. Do not just keep standing there join a Weight Loss Program today and begin enjoying a new you with better health, more energy. You will find yourself able to stay focused, alert and just plain happier.

Remember once you decide which Program is best for you, you alone are the only one who has the power to lose and keep off the excess weight. You can find reviews of 4 top Weight Loss Programs [], healthy recipes and tips at Weight Loss Programs, a web site dedicated to assisting you with your Weight Loss Endeavor.

What are AARP Medicare Supplement Plans?

Medicare is a specialized government program that provides health care insurance for elderly or disabled people with ages sixty five and older, which is a port of social security systems. The American Association of Retired Persons, or AARP, provides additional or supplementary insurance plans through different private insurance companies that help providing coverage on certain costs on health care that the main Medicare insurance does not or cannot cover.

The AARP presents a set of Medicare supplement plans that offer additional benefits that are not usually covered by the main Medicare insurance issued by the government. The plans are offered by private insurance companies rather than the federal government. People with eligible ages and conditions are the ones only allowed to purchase any of the AARP Medicare supplement plans.

Medicare supplement plans released by the AARP pay for the additional days beyond what Medicare can cover if you have to be confined in a medical facility. Such plans cover the remaining balances of the costs not taken up by Medicare including doctor visits, the first three pints of blood to be used, and fees for nursing homes or services.

Several states in the United States have imposed regulations that tell how AARP Medicare supplement plans can operate and what are the benefits they can provide. In much simpler terms, private insurance companies provide Medicare supplement plans, but the government regulates them.

AARP Medicare supplement plans are offered in different categories, in the same way that the main Medicare insurance plan is comprised of. There are twelve types of Medicare supplement plans from Plan A to Plan N, which exhibit different coverage, premium rates, and benefits. These categories differ in the cases, locations, and conditions of the coverage to be exacted for the recipient in order to cut down costs on the particular service to be covered.

Since AARP Medicare supplement plans come in different categories or tiers, proper and thorough consideration must be done prior to the purchase of a supplement plan. It must be kept in mind that there are specific purposes and benefits in each Medicare supplement plan, so having the right supplement plan can save considerable amount of money and effort.

Paying for Medicare- Info from WWW Medicare Gov

With the ever expanding needs on healthcare services, the US government keeps on adjusting with the modifications and improvements in its healthcare policies to essentially accommodate these changes. One example is the Medicare program. Originally, Medicare is offered in two packages namely the Part A and the Part B, both of which necessitated the purchase of the Medigap policy to fill in the gaps of the policy.

Recently, as sourced from www medicare gov, the healthcare program has added two additional core benefits called the Advantage Plan and Long-Term Care Plan corresponding to Medicare Part C and Part D, respectively. With the Medicare Part C, purchase of the Medigap policy is no longer necessary as the package has a relative more comprehensive coverage, including prescription drug coverage which is lacking in the original two Medicare benefits packages. The Medicare Part D is meant to provide aid in paying for skilled nursing services such as those in nursing homes.

All of the Medicare Plans have premiums and higher premiums are assigned with plans of wider coverage. The Medicaid premiums are paid in the form of taxes deducted monthly from an individual’s salary and the standard allotment is set at 2.0%- the value or payment is shared between the worker and the employer. Individual contributors pay this percentage in full. State subsidy or premium payment exception is given to individuals who do not have the means to pay for the premiums and applications for state subsidy is made tot e local social security agency.

Weight Loss Super Foods

Many people wish they could lose some weight. But it’s hard to commit to changing eating habits. Is this how you feel? Congratulations, you are completely normal. Voluntarily sacrificing unhealthy foods that once provided the backbone of your diet is a major step that many individuals are unwilling to make. Thankfully, you don’t have to sacrifice good taste in order to lose weight.

There are plenty of foods that are sometimes referred to as  weight   loss  super foods. These are foods satisfy hunger for longer, boost metabolism, inhibit fat absorption or just generally improve health in a way that makes it easier to lose weight.

Here is a list of  weight   loss  super foods to help you along your  weight   loss  journey:

  1. Oatmeal — Oatmeal is high in fiber, low in calories, and is slow burning which means blood sugar levels are stabilized and your hunger is satisfied for longer. If you add sugar, honey or fruit to your oatmeal remember to do so in moderation.
  2. Leafy green vegetables — Spinach, kale, Swiss chard, buk choy and lettuce (green leaf, red leaf, romaine etc) are excellent sources of fiber and essential nutrients like iron.
  3. Olive oil — When cooking in oil use olive oil or natural nut oils and reduce portion sizes. Using unsaturated oils helps reduce cravings for fatty foods.
  4. Fish — Fish and seafood are rich in essential Omega-3 fatty acids. Omega-3 promotes brain development, mood stabilization and helps control cholesterol levels. All this in a low fat, high protein alternative to red meat.
  5. Beans — Otherwise referred to as legumes. Beans are rich in fiber and protein, and help stabilize blood sugar levels. Vegetarians frequently use beans as an alternative to meat. You can even combine beans and ground beef to create heart healthy, low fat taco or burrito filling. The bean family includes black-eyed peas, peas, kidney beans, mung beans, lentils, calico beans, edamame (baby soy beans), black beans, cannellini beans, soy beans, lima beans, broad beans (fava beans), butter beans, pinto beans, chickpeas (garbanzo beans) and peanuts (yes, peanuts are actually a legume rather than a nut).
  6. Green or white tea — Green and white tea come from the same plant as the most commonly consumed regular ‘black’ tea. The difference is the amount of time spent drying out the tea. As the tea dries out it becomes oxygenated and oxygenation kills the antioxidants contained in the tea. Black tea has spent the most time on drying racks meaning it contains the least antioxidants. Green tea is the next step down and white tea has spent the least time drying and therefore contains the most antioxidants. Antioxidants help control cholesterol levels and also boost your metabolism. Consuming four cups of green or white tea per day can boost your metabolism by 4-6% (i.e. 104-156 calories).
  7. Eggs — Eggs are protein power houses. Egg white is almost pure protein. Protein satisfies your hunger for longer so eating foods rich in protein helps reduce the incidence of snacking. People who eat two eggs for breakfast are proven to take longer before they feel hungry again. So whip up a protein shake with two eggs for breakfast.
  8. Acai and Goji berries — These berries are high in protein for muscle building they are also rich in macronutrients like polyphenols and bioflavonoids. They are also fiber rich and have a low glycemic index. Their strong antioxidant properties make them extremely healthy. Their actual  weight   loss  properties require further research to determine.
  9. Pomegranate — According to the University of Houston, pomegranate seed oil reduces the body’s ability to store fat and prevents the formation of fatty deposits in arteries. The sweetness of pomegranate is a great way to satisfy cravings for sugary foods.
  10. Vinegar — According to the University of Arizona, vinegar lowers the glycemic index of foods consumed, this controls insulin levels and satisfies hunger for longer because vinegar slows down food absorption. Lemon juice has the same effect. This is believed to be due to the acetic acid content.
  11. Chillies — Chillies inhibit fat cell growth according to research from Taiwan’s National Chung Hsing Univerity. People who consume chillies can burn an additional 50 calories per day
  12. Cinnamon — Cinnamon is reputed to increase blood levels of a chemical that delays the emptying of the stomach. Meaning that it helps satisfy hunger for longer.
  13. Soy – University of Illinois studies indicate soy protein acts as an appetite suppressant because it interacts with receptors in the brain that make us feel full. It also boosts metabolism and reduces fat absorption.
  14. Yogurt — University of Tennessee studies indicate that individuals who consumed three serves of low-fat yoghurt per day lost an impressive 81% more abdominal fat than those who had the same diet but skipped the yoghurt. Calcium in yoghurt binds to fat in the digestive system, reducing fat absorption. Yogurt also boosts the metabolic rate which assists the body in burning extra fat.
  15. Grapefruit — The pectin in grapefruit is reputed to bloat in your stomach in order to satisfy hunger for longer.
  16. Avocado — South African studies indicate dieters consuming 200g of avocado daily lost as much weight as those who consumed 30g of other dietary fats. The monounsaturated fats in Avocado satisfy your hunger for longer
  17. Cherries — Again, the antioxidant properties help boost metabolism and satisfy hunger.
  18. Sardines — According to the University of Wisconsin, sardines lower levels of the hormone leptin in your body. Lower leptin levels lead to faster metabolism.

Including these  weight   loss  super foods with moderate amounts of your favorites will provide a healthy, enjoyable diet that yields effective  weight   loss  results. You can even go further and use natural seasonings opposed to pre packaged ones to add flavor to culinary creations. Examine your favorite taco seasoning and read the ingredients list. Use the spices listed to make the dish healthier. The extra effort can actually make cooking more enjoyable as you face the challenge of perfecting the recipes.

Any way you look at it, maintaining a  weight   loss  diet is hard work. But it doesn’t have to be difficult. Simply frying less, eating more fruit and vegetables, reducing meat portions and spicing up your  weight   loss  super foods with natural spices will make dieting much easier.