Oct 30, 2009 | Medical billing basics
I have already write many things about CMS or HCFA 1500 form in many article but still there is lot know about CMS 1500. Hence I decided to write some more article about CMS 1500. Click below link for old articles CMS 1500 billing instruction part 1 CMS 1500 billing...
Oct 30, 2009 | Medical billing basics
DME Policy The DME program covers medically necessary durable medical equipment, prosthetics, orthotics, and disposable medical supplies (DMEPOS); which includes oxygen and related supplies, parenteral and enteral nutrition and medical foods. Durable Medical Equipment...
Oct 28, 2009 | Medical billing basics
Two Surgeons (CPT Modifier 62) For co -surgeons, we will continue the current predominant carrier practice of paying 125 percent of the global fee and dividing the payment equally between the two surgeons. No payment will be made for an assistant at surgery in these...
Oct 28, 2009 | Medical billing basics
If a surgeon performs more than one procedure on the same patient on the same day, we will pay 100 percent of the global fee for the highest value procedure only and 50percent of the global fee for the second, third, fourth, and fifth procedure. Each procedure after...
Oct 28, 2009 | Medical billing basics
Denied EOB The below picture is correct example for denial claims. Whenever the claim is denied or your receive the denial claims, you shoud check the Claim adjustment code or Denial reason code in order to work on the claims. If you see the below EOB the denial...
