May 6, 2015 | Medical billing basics
Novitas Solutions Medical Review (MR) Department has observed a continued trend of the utilization of non-physician practitioners to perform initial office visits as “incident to” services. Documentation reviewed by the MR Department indicates that a...
Apr 29, 2015 | Medical billing basics
Crossover Crossover is an automatic claim filing service used by Railroad Medicare and Medicare Part B contractors to send claim information to your supplemental insurance after Palmetto GBA has processed a Medicare claim for you. This saves you the time of...
Apr 20, 2015 | Medical billing basics
Railroad Medicare covers certain supplies if you have Medicare Part B and have diabetes. These supplies include: • Blood glucose self-testing equipment and supplies • Therapeutic shoes and inserts • Insulin pumps and the insulin used in the pumps Blood Glucose...
Apr 5, 2015 | Medical billing basics
The Affordable Care Act of 2010 brought new covered services, as well as changes to existing services regarding copayments and deductibles. The addition of the Annual Wellness Visit (AWV) exam is meant to help you maintain good health through a yearly visit with your...
Mar 30, 2015 | Medical billing basics
If you are in the hospital, occupying a bed, are you an inpatient of the hospital, or not? You probably think you are, but that may not necessarily be true. Here’s why: Being ‘inpatient’ means you have been formally admitted to the hospital with a doctor’s order....
Mar 17, 2015 | Medical billing basics
Palmetto GBA Railroad Medicare (original Medicare) covers Part B services, such as doctors’ visits, surgeries, preventive services, lab tests and some ambulance transports or services furnished by other non-practitioners or suppliers. Home health is a covered service...
