The following is a list of the most commonly asked questions about potential reimbursment for procedures utilizing Welch Allyn Equipment.
What information is included under the "Supported Products" links?
A: The information under the links includes: Coding options and general information regarding Medicare, Medicaid and Private Payers for the following products: ABPM, Audiometry and Tympanometry, Ear Wash System, ECG, Holter Monitoring, Spirometry and SureSight™.
Q: Does the Medicare fee schedule vary by geographical region?
A: Yes. For specific reimbursement fees visit https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp?locality=NY?checkXwho=done, accept the licensing agreement, then to begin a search:
1. First select your state to adjust for your geographic region.
2. Next, select the city to complete the geographic adjustment factor.
3. Select search type: CPT Code or Keyword(s) in descriptor.
4. Enter 5-digit CPT code or keyword(s).
Q: What are reimbursement rates for all the applicable CPT codes in my area?
A: For specific reimbursement fees you may visit: https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp?locality=NY?checkXwho=done, accept the licensing agreement, then to begin a search:
1. First select your state to adjust for your geographic region.
2. Next, select the city to complete the geographic adjustment factor.
3. Select search type: CPT Code or Keyword(s) in descriptor.
4. Enter 5-digit CPT code or keyword(s).
Q: Can Welch Allyn call a payer for a reimbursement claim?
A: No. Welch Allyn does not provide this service. We recommend that you contact the payer directly to determine your benefits.
Q: Can Welch Allyn provide ICD-9 codes?
A: No. Welch Allyn cannot advise a provider/contact on diagnostic codes. We recommend that you contact their provider directly.
Q: Can Welch Allyn research private payers and their coverage restrictions for a contact?
A: Welch Allyn cannot conduct research on private payers, as it requires specific identification numbers which are only available to the providers.
Q: Can Welch Allyn research coverage for the State Medicaid plan for my contact's office?
A: Welch Allyn cannot research coverage for the State Medicaid plan for providers. We recommend contacting the payer to determine benefits.
Q: Is a provider paid the same by all payers?
A: No, the provider is paid for services based on his/her physician fee schedule. Each payer is different.
Q: What do I do if an insurance company denies my claim for medical necessity?
A: Welch Allyn recommends you appeal the claim. There are forms for which you can file a claim on the AMA website at: https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp?checkXwho=done
Q: Can I receive a paper copy of the reimbursement brochure that is available on your website?
A: Yes, we can mail or fax you a copy of any brochure that is available on the following webpage: www.welchallyn.com/support/reimburse_support.htm.
Or call the Welch Allyn Customer Care Line at 1.800.535.6663, Monday through Friday, 9 AM to 5 PM EST and provide your shipping address.
If you do not see an answer to your question here or need additional assistance, Please contact Welch Allyn customer service at: 1-800-535-6663 Monday through Friday, 9 AM to 5 PM Eastern Standard Time.
CPT is a registered trademark of the American Medical Association
CPT Codes © 2006 American Medical Association. All rights reserved. CPT is a trademark of the AMA. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein.
Applicable FARS/DFARS restrictions apply to Government use.
Current Procedural Terminology (CPT), Fourth Edition, 2007. American Medical Association, 2006. All rights reserved.
2007 National Average Medicare Physician Fee Schedule Amounts: 71 Fed. Reg. 69624-70251 (2006)
(to be codified at 42 CFR § 405, 410, et all).
For reference only. Information does not constitute a guarantee of coverage or payment.
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