Dec 15, 2010 | Medical billing basics
Emergency Department Referrals The transfer of care or portion of care is a referral. • The Emergency Department provider requests that the specialist take over care or a portion of care. The Emergency Department does not intend for the patient...
Dec 13, 2010 | Medical billing basics
Avoid Untimely Claim Denials To avoid receiving an untimely claim denial for services rendered from October 1, 2008 through December 31, 2009, Highmark Medicare Services must receive these claims prior to 4:00 PM Eastern Standard Time (EST) on Thursday, December 30,...
Dec 11, 2010 | Medical billing basics
Monthly Coding Audit Summary Report Facilities are encouraged to use the monthly audit form on the UBU website for completing the Monthly Data Quality Commander’s Statement. On the Monthly Coding Audit Summary Report, identify the number of records requested and...
Dec 10, 2010 | Medical billing basics
Not Otherwise Specified (NOS) Only use “NOS” codes when the documentation is insufficient to code to a more specific code. This is synonymous with “Unspecified”. Example: A provider note indicates the patient has “otitis media.” Code 382.9,...
Dec 8, 2010 | Medical billing basics
Explaining about Medicare health screening – Video
