Aug 25, 2016 | Medical billing basics
Specific Hematology, Cytopathology and Blood Banking Services Cytopathology services include the examination of cells from fluids, washings, brushings or smears, but generally excluding hematology. Examining cervical and vaginal smears are the most common service in...
Aug 19, 2016 | Medical billing basics
Power Mobility Devices (PMDs) Section 302(a)(2)(E)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) sets forth revised conditions for Medicare payment of Power Mobility Devices (PMDs). This section of the MMA states that payment...
Aug 17, 2016 | Medical billing basics
Examples of Billable Prolonged Services EXAMPLE 1 A physician performed a visit that met the definition of an office visit code 99213 and the total duration of the direct face-to-face services (including the visit) was 65 minutes. The physician bills code 99213 and...
Aug 17, 2016 | Medical billing basics
Provider Action Needed The Centers for Medicare & Medicaid Services (CMS) will implement Change Request (CR) 9252 on January 4, 2016, effective October 1, 2015. (See related MLN Matters® article MM9252.) This CR establishes the list of covered conditions and...
Aug 15, 2016 | Medical billing basics
PROVIDER COMMUNICATIONS 573-751-2896 MO HealthNet providers can contact the Provider Communications Unit with inquiries, concerns or questions regarding proper claim filing, claims resolution and disposition, and participant eligibility questions and verification. The...
Aug 13, 2016 | Medical billing basics
Requesting Coverage Interested parties with Food and Drug Administration (FDA) approval letters dated January 1, 2015 or later for IDE Category A or Category B studies that are seeking Medicare coverage for Category A or B IDE studies must submit a request packet to...
