Nov 17, 2011 | Medical billing basics
Example of information required to accompany an unclassified drug: HCPCS Code NDC NDC Description NDC Quantity* J3490 00409156029 Bupivacaine, 0.50% 1ml 10.00 J9999 55566830101 Degarelix 1 UN 1.00 J3490 00409427001 Lidocaine 1ml 6.50 *Two decimals. NDC quantity is...
Nov 15, 2011 | Medical billing basics
Signature Requirements Medicare requires a legible identifier for services provided/ordered. The method used must be handwritten or an electronic signature (stamped signatures are not acceptable) to sign an order or other medical record documentation for medical...
Nov 12, 2011 | Medical billing basics
Determining the Appropriate Primary ICD-9-CM Diagnosis Code for Diagnostic Tests Ordered Due to Signs and/or Symptoms Confirmed Diagnosis Based on Results of Test: If the physician has confirmed a diagnosis based on the results of the diagnostic test, the physician...
Nov 8, 2011 | Medical billing basics
DIAGNOSIS OVERVIEW ICD-9-CM Codes Physicians and Non-Physician Practitioners (NPP) must use the appropriate diagnosis code or codes to identify symptoms, conditions, problems, complaints or other reasons for the encounter or visit. Claims will be returned as...
Oct 15, 2011 | Medical billing basics
SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES [V01-V82] [V01-V06] Persons with potential health hazards related to communicable diseases. [V07-V09] Persons with need for isolation, other potential health hazards and...
Oct 7, 2011 | Medical billing basics
Adjustments on the Remittance Voucher Adjustment requests are printed on the remittance voucher as two different claim entries. The incorrectly paid claim is listed exactly as it was when it was originally reported. The transaction control number (TCN) for...