Aug 27, 2012 | Medical billing basics
Its information from Tricare for collection agency on their patients. Both network and non-network providers are encouraged to explore every possible means to resolve claims issues without involving debt- collection agencies. The most important action you...
Aug 24, 2012 | Medical billing basics
If the testing facility cannot reach the treating physician/practitioner to change the order or obtain a new order and documents this in the medical record, then the testing facility may furnish the additional diagnostic test if all of the following criteria apply: •...
Aug 20, 2012 | Medical billing basics
Diagnostic Test A “diagnostic test” includes all diagnostic x-ray tests, all diagnostic laboratory tests, and other diagnostic tests furnished to a beneficiary. Treating Physician A “treating physician” is a physician, as defined in §1861(r) of the Social Security Act...
Aug 15, 2012 | Medical billing basics
Audiological tests require the skills of an audiologist and shall be furnished by qualified audiologists, or, in States where it is allowed by State and local laws, by a physician or non-physician practitioner. Medicare is not authorized to pay for these services when...
Aug 11, 2012 | Medical billing basics
Occupational Therapy Evaluation (CPT code 97003) and Occupational Therapy Re-evaluation (CPT code 97004) Evaluation is a comprehensive service that requires professional skills to make clinical judgments about conditions for which services are indicated based on...
Aug 7, 2012 | Medical billing basics
Claim Check The TRICARE West Region contract uses a version of the McKesson HBOC ClaimCheck® product to review non-Outpatient Prospective Payment System (non-OPPS) claims on a prepayment basis for unbundling. ClaimCheck is an automated product that...
