SERIAL NUMBER
|
Procedure
|
1st Qtr
|
Per Qtr (for next 3 Qtrs)
|
Requirements while submitting for follow-up Preauth
|
Requirements while submitting for follow-up Claims
|
77
|
FP0077 : Infective Endocarditis
|
4,000
|
2,000
|
Previous Discharge Summary
|
(Clinical Evaluation, Blood Culture,CT, ECHO-Mandatory)
|
82
|
FP0082 : Congenital heart disease with congestive cardiac failure
|
2,000
|
1,000
|
Previous Discharge Summary
|
(Clinical Evaluation, ECG, ECHO-Mandatory)
|
83
|
FP0083 : Acquired heart disease with congestive cardiac failure
|
2,000
|
1,000
|
Previous Discharge Summary
|
(Clinical Evaluation, ECG, ECHO-Mandatory), Cardiac Enzymes
|
87
|
FP0087 : Acute Myocardial infarction
|
4,000
|
2,000
|
Previous Discharge Summary
|
(Clinical Evaluation, ECG, ECHO, Lipid Profile-Mandatory)
|
88
|
FP0088 : Infective Endocarditis
|
4,000
|
2,000
|
Previous Discharge Summary
|
(Clinical Evaluation, ECG,ECHO, Fungal Blood Culture-Mandatory)
|
89
|
FP0089 : Complex Arrythmias
|
4,000
|
2,000
|
Previous Discharge Summary
|
(Clinical Evaluation,ECHO-Mandatory),Holter ECG Monitoring
|
|