Nov 7, 2017 | Medical billing basics
CHILDREN’S MULTI-DISCIPLINARY SPECIALTY (CMDS) CLINIC REQUIREMENTS CMDS clinics are required to operate under the authority of hospitals or medical universities. Hospitals and medical universities requesting CMDS clinic designation must adhere to the requirements as...
Oct 21, 2017 | Medical billing basics
E87 Other disorders of fluid, electrolyte and acid-base balance Excludes1: diabetes insipidus (E23.2) electrolyte imbalance associated with hyperemesis gravidarum (O21.1) electrolyte imbalance following ectopic or molar pregnancy (O08.5) familial periodic paralysis...
Sep 8, 2017 | Medical billing basics
CLINICAL RECORDS The following table contains general guidelines for clinical documentation that must be maintained by all providers except nursing facilities. Clinical records other than those listed may also be needed to clearly document all information pertinent to...
Jul 28, 2017 | Medical billing basics
Diseases of the blood and blood-forming organs and certain disorders involving the forming organs and certain disorders involving the forming organs and certain disorders involving the immune mechanism (D50- immune mechanism (D50-D89) Iron deficiency anemia (D50) Iron...
Jul 6, 2017 | Medical billing basics
Claim Determinations When BCBSTX receives a properly submitted claim, it has authority and discretion under the Plan to interpret and determine benefits in accordance with the Plan provisions. BCBSTX will render an initial decision to pay or deny a claim within 30...
Jun 14, 2017 | Medical billing basics
Procedure Code Description 88305 Level IV surgical pathology, gross and microscopic examination…prostate needle biopsy… 88307 (Level V -surgical pathology, gross and microscopic examination) G0416 Surgical pathology, gross and microscopic examinations, for prostate...
