Jul 28, 2020 | Medical billing basics
Background Information Modifiers Modifiers are two-character suffixes (alpha and/or numeric) that are attached to a procedure code. CPT modifiers are defined by the American Medical Association (AMA). HCPCS Level II modifiers are defined by the Centers for Medicare...
Jun 12, 2020 | Medical billing basics
Modifiers XE, XS, XP, XU, and 59 – Distinct Procedural Service Scope This policy applies to all Commercial medical plans, Medicare Advantage plans, and Oregon Medicaid/EOCCO plans. Reimbursement Guidelines Effective for dates of service January 1, 2015 and...
Feb 21, 2020 | Medical billing basics
Present On Admission (POA) Indicators Scope Description:Applies to Present On Admission (POA) Indicator requirement for all BlueCross BlueShield of TN lines of business.Subject: Present On Admission (POA) requirement Purpose:To establish guidelines for Present...
Jan 5, 2020 | Medical billing basics
Procedure code and DescriptionQ2034: Influenza virus vaccine, split virus, for intramuscular use (Agriflu)Q2035: Influenza virus vaccine, split virus, when administered to individuals 3 years of age & older, for intramuscular use (AFLURIA)Q2036: Influenza virus...
Dec 4, 2019 | Medical billing basics
Procedure code and description 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service99051 Service(s) provided in the...
Sep 28, 2019 | Medical billing basics
CPT code and Description G0446 – annual, face-to-face intensive behavioral counseling (IBT) for cardio-vascular disease (CVD), individual, 15 minutes G0447 – face-to-face behavioral counseling for obesity, 15 minutes G0473 – face-to-face behavioral counseling for...
