Mar 8, 2015 | Medical billing basics
Bone Density: Time to Get It Tested Bone Mass Measurement (BMM), or bone density screening is a test that identifies bone mass, detects bone loss, and may determine bone quality. BMM can be performed with a bone ‘densitometer’ or an approved bone...
Feb 25, 2015 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS), is continuing to focus on lowering the Comprehensive Error Rate Testing (CERT) claims paid error rate. Currently, one area of concern identified in the CERT data is denial of outpatient rehabilitation therapy...
Feb 18, 2015 | Medical billing basics
Medicare has broad coverage, but there are some services that are not covered because they are considered reasonable, medically necessary, and appropriate. The purpose of the ABN is to give you the necessary information to make informed decisions about whether or not...
Feb 5, 2015 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS), is continuing to focus on lowering the Comprehensive Error Rate Testing (CERT) claims paid error rate. Currently, one area of concern identified in the CERT data is denial of diagnostic tests due to missing...
Jan 28, 2015 | Medical billing basics
Coverage/Documentation requirements If a physical therapy evaluation is signed by the physician, may it be used as the certification? The criteria for “timely certification” of the initial plan of therapy have been met when the physician/non-physician practitioner’s...
Jan 18, 2015 | Medical billing basics
This page provides basic information about being certified as a Medicare and/or Medicaid End Stage Renal Disease (ESRD) provider and includes links to applicable laws, regulations, and compliance information. ESRD is that stage of renal impairment that appears...
