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Understanding the Bone Mass Measurement Act.

¹Emory University, Atlanta, GA, USA. nwatts@emory.edu

Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry

|November 5, 1999

Summary

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The Bone Mass Measurement Act (BMMA) outlines Medicare coverage for bone density tests for qualified individuals. Understanding coding systems like CPT and ICD-9 is crucial for proper reimbursement under these new regulations.

Area of Science:

Health Policy
Medical Economics
Radiology

Background:

The Bone Mass Measurement Act (BMMA) established Medicare Part B coverage for bone mass measurements starting July 1, 1998.
The act specifies coverage for 'medically necessary approved measurements' in qualified individuals meeting specific diagnostic criteria.

Purpose of the Study:

To review the regulations set forth by the Bone Mass Measurement Act (BMMA).
To explain the essential communication tools required for reimbursement under these regulations.

Main Methods:

Review of the Bone Mass Measurement Act (BMMA) regulations.
Identification and explanation of key communication tools for Medicare reimbursement.

Main Results:

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The BMMA defines specific criteria for Medicare coverage of bone mass measurements.

Effective communication using CPT, HCPCS, LMRP, and ICD-9 codes is vital for reimbursement.

Conclusions:

Healthcare providers must adhere to BMMA regulations for Medicare reimbursement of bone mass measurements.
Accurate utilization of coding systems is essential for navigating the reimbursement process.