Oct 24, 2009 | Medical billing basics
Authorization Providers are responsible for verifying recipient eligibility and authorization requirements before providing services/products (the Authorization Department does not handle recipient eligibility inquiries.) Common services that require authorization...
Oct 23, 2009 | Medical billing basics
You may bill recipients only in the following situations: The recipient’s Medicaid eligibility status is pending . If you bill the recipient and they are found eligible for Medicaid with a retroactive date that includes the date of service, you must return the...
Oct 22, 2009 | Medical billing basics
Services Not Included in the Global Package of Major Surgeries These services may be paid for separately. In some instances, you must use the appropriate modifier when billing for these services. 1. The initial consultation or evaluation of the problem by the surgeon...
Oct 21, 2009 | Medical billing basics
Medicare advantage plans Medicare claim submission address Medicare plan or Part D Helath insurance claim denial codes Medicare timely filing limit Medicare hospice denials Anesthesia medical billing guidelines Medical billing basics Medical billing AR Medical billing...
Oct 21, 2009 | Medical billing basics
What is HIPAA compliance The Health Insurance Portability and Accountability Act of 1996 (HIPAA – Public Law 104-191) gives individuals certain rights concerning their health information, sets boundaries on how it is used, establishes formal safeguards and holds...
