Sep 3, 2011 | Medical billing basics
If these Primary Care Physician Protocols differ from or conflict with other Protocols in connection with any matter pertaining to Evercare Institutional Customers, these Primary Care Physician Protocols will govern unless statutes and regulations dictate...
Aug 30, 2011 | Medical billing basics
MENTAL DISORDERS [290-319] [290-299] Psychoses. [290-294] Organic psychotic conditions. [295-299] Other psychoses. [300-316] Neurotic disorders, personality disorders, and other non-psychotic mental disorders. [317-319] Mental retardation. NERVOUS SYSTEM AND SENSE...
Aug 29, 2011 | Medical billing basics
Fraud, waste and abuse prevention & training If you identify potential fraud, waste, or abuse, please report it to us immediately so that we can investigate and respond appropriately. Please see the How to Contact Us section of this guide for contact...
Aug 29, 2011 | Medical billing basics
Requirements for Filing an Adjustment An adjustment request is processed as a replacement to the original, incorrectly paid claim. The original payment for the claim is completely deducted. All claim items on the request must be correctly...
Aug 25, 2011 | Medical billing basics
A person working within the profession of medical insurance billers or medical insurance coder’s works in the administrative sector of the medical field, managing patient records and database information, following up on billing for insurance and...
Aug 24, 2011 | Medical billing basics
Medical record standards Medical records will contain all information necessary and appropriate for quality improvement activities and to support claims for services submitted by you. In providing care for UnitedHealthcare members, we expect that you have signed,...
