Oct 30, 2013 | Medical billing basics
Provider Change of Ownership Providers (as defined in 1861(u) of the Act, and institutional suppliers such as RHCs) that undergo a change in their ownership structure are required to notify CMS concerning the identity of the old and new owners. They are also...
Oct 23, 2013 | Medical billing basics
Section 202(n) of the Social Security Act (the Act), requires the termination of Title II benefits upon deportation. Moreover, Sections 226 and 226(A) of the Act provide that no payments may be made for benefits under Part A of Title XVIII of the Act if there is...
Oct 17, 2013 | Medical billing basics
If the specimen is drawn or received by an independent laboratory approved under the Medicare program that performs a covered test, but the lab refers the specimen to another laboratory in a different carrier jurisdiction for additional tests, the carrier servicing...
Aug 23, 2013 | Medical billing basics
Our clinical philosophy is to provide the most appropriate member/practitioner match and the least restrictive treatment intervention for each member’s needs across the life...
Aug 18, 2013 | Medical billing basics
1. Q: What is ICD-10? A: ICD-10 is the International Classification of Diseases, version 10. (ICD is the international standard for diagnostic classifications.) The current version, ICD-9, was adopted in 1979. 2. Q: What changes are occurring in the...
Aug 12, 2013 | Medical billing basics
Its may be little late but still useful. 1. Q: What is 5010? A: HIPAA mandates certain transaction types for electronically submitted claims. The current format is ANSI (American National Standards Institute) X12 ...
