Aug 2, 2012 | Medical billing basics
Global Maternity Claims Global maternity involves the billing process for maternity-related claims for a beneficiary. Once a beneficiary has been diagnosed as pregnant, all charges related to the pregnancy are grouped under one global maternity...
Jul 30, 2012 | Medical billing basics
Lab and Radiology Billing When submitting claims for laboratory or radiology services rendered in a hospital setting, inpatient or outpatient, and you are a professional provider, use modifier 26 to indicate that you are billing for the professional...
Jul 26, 2012 | Medical billing basics
Beneficiary Signature Requirements Medicare requires the signature of the beneficiary, or that of his or her representative, for each date of transport, for both the purpose of accepting assignment and submitting a claim to Medicare. If the beneficiary is unable to...
Jul 20, 2012 | Medical billing basics
Billing with Unlisted Procedures Some procedures may not be found in any level of Healthcare Common Procedure Coding System (HCPCS). Typically, these are services that are rarely provided, or are unusual, variable, or unlisted procedures. In order...
Jul 17, 2012 | Medical billing basics
Electronic Remittance Advice The electronic remittance advice (ERA) can help improve the workflow and productivity of your business office. Available through WPS, the ERA can be automatically loaded into your accounts receivable system, depending upon your...
Jul 12, 2012 | Medical billing basics
Proper Appealing Parties • The TRICARE beneficiary (including minors) • The non-network participating (accepts assignment) provider of services • A non-network participating (accepts...
