Coding and Billing Resources
Our team works with many payers across the health care landscape. We maintain a robust reimbursement support resource center for transplant centers that contains useful information about coding and billing. This information may be useful to payers to understand how transplant centers are advised to code and subsequently bill for services. We provide this information to both payers and providers because billing for HCT is different from solid organ transplants in many ways.
The categories of payer information we provide includes:
Medicare – Including information regarding Medicare Coverage and Authorization, Cancelled Transplants, Rate-Setting and Billing.
Medicaid – Including information regarding Medicaid Coverage and Authorization, as well as the Prior Authorization Form.
Commercial – Including a sample Letter of Medical Necessity, Prior Authorization Form, and the Coverage Determination Checklist.
American Indian and Native Alaskan Coverage – Including resources regarding Indian Health Services (IHS) coverage.
And finally, general resources including clinical trials, appeals process and FAQs.