Jun 13, 2016 | Medical billing basics
Certifying Patients for the Medicare Home Health Benefit This MLN Matters® SE1436 article gives Medicare-enrolled providers an overview of the Medicare home health services benefit, including patient eligibility requirements and certification/recertification...
Jun 10, 2016 | Medical billing basics
Subrogation Subrogation is another liability recovery activity in which medical costs that are the result of actions or omissions of a third party are recovered from the third party (and/or his insurer). In some instances, Tufts Health Plan has the right to recover...
Jun 8, 2016 | Medical billing basics
Modifier 26 Professional Component: Certain procedures are a combination of a physician component and a technical component. When the physician component is reported separately, the service may be identified by adding the modifier 26 to the usual procedure number....
Jun 5, 2016 | Medical billing basics
HCPCS Modifier Description Diagnosis G9002 Coordinated Care Fee, Maintenance Rate (Ongoing Children’s Service Coordination) 1 Unit = 15 minutes, PA is required. G9002 HM Service Coordination Paraprofessional, PA is required. G9003 Coordinated Care Fee, Risk Adjusted...
Jun 3, 2016 | Medical billing basics
Medicare providers and suppliers that effective for claims with dates of service on or after July 1, 2016, new Healthcare Common Procedure Coding System (HCPCS) codes Q9981 (rolapitant, oral, 1mg); Q9982 (flutemetamol f18 diagnostic); and Q9983 (florbetaben f18...
May 31, 2016 | Medical billing basics
Filing Deadline Filing Deadline Policy Tufts Health Plan follows the guidelines described in the Tufts Health Plan Claims Submission Policy. For professional or outpatient services, Tufts Health Plan must receive claims within 60 days from the date of service for...
