Sep 11, 2015 | Medical billing basics
Evaluation and Management (E&M) codes are to be performed by physicians, nurse practitioners and physician assistants. Physician codes should be billed using the rendering provider’s individual NPI. 99201 Office or other outpatient visit for the evaluation and...
Sep 8, 2015 | Medical billing basics
Provider Enrollment The provider enrollment process is a critical function that assures only qualified and eligible providers are enrolled in the Medicare program. Physicians and non-physician practitioners (NPPs) who provide services to Medicare beneficiaries must...
Sep 7, 2015 | Medical billing basics
What is the difference between LCDs and NCDs? A. Local coverage determinations (LCDs) for a specific jurisdiction are developed by the Medicare Administrative Contractor (MAC) assigned to that jurisdiction. First Coast Service Options Inc. is the MAC for Florida,...
Sep 2, 2015 | Medical billing basics
99233 Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of high complexity. Counseling and/or...
Aug 28, 2015 | Medical billing basics
Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal-Occult Blood Tests (FOBT) 82270-82274 Provider Types Affected This MLN Matters Article is intended for physicians, physician assistants, nurse practitioners and clinical...
Aug 21, 2015 | Medical billing basics
First Coast Service Options Inc. (First Coast) recently conducted data analysis due to the high comprehensive error rate testing (CERT) error rates for evaluation and management services pertaining to Current Procedural Terminology®(CPT®) codes 99223(initial hospital...
