The following description was taken from this source.MAESTRA is a three dimensional model of forest canopy radiation absorption, photosynthesis, and transpiration.adiation penetration to each grid point is calculated for three wavebands (i.e. PAR, near infrared and thermal radiation), including consideration of direct, diffuse and scattered radiation. Photosynthesis and transpiration at each grid point are calculated from the absorbed radiation.
Additionally, effective January 1, 2009, the Medicare Improvement for Patients and Providers Act (MIPPA) removed the screening EKG as a mandatory service of the initial preventive physical exam (IPPE). The MIPPA, however, does require that there be education, counseling, and a referral for an EKG, as appropriate.
Medicare providers arenât allowed to bill you for Medicare deductibles, coinsurance, and copayments when you get services and items Medicare covers, except outpatient prescription drugs. Pharmacists may charge you up to a limited amount (no more than $3.70 in 2018) for prescription drugs covered by Medicare Part D. To make sure your provider knows you have QMB, show both your Medicare and Medicaid or QMB card each time you get care. If you get a bill for medical care Medicare covers, call your provider or plan about the charges. Tell them that you have QMB and canât be charged for Medicare deductibles, coinsurance and copayments.