Jul 25, 2011 | Medical billing basics
Prompt claims processing We know that you want your claims to be processed promptly for the covered services you provide to our members. We work hard to process your claims timely and accurately. Here’s what you can do to help us: 1 Review the member’s eligibility at...
Jul 23, 2011 | Medical billing basics
Services for the treatment of End Stage Renal Disease (ESRD), including outpatient dialysis services (as defined by, but not limited to, the revenue and CPT codes below), require notification. No notification is required for end stage renal disease when a Medicare...
Jul 22, 2011 | Medical billing basics
Dual Eligibles – The following describes the various categories of individuals who, collectively, are known as dual eligibles. Medicare has two basic coverages: Part A, which pays for hospitalization costs; and Part B, which pays for physician...
Jul 21, 2011 | Medical billing basics
Any medical billing company would like to have on-time collections, of course. Although, it cannot be denied that there are issues that may hinder this from happening. To make sure that every billing is paid successfully, you have to work hard and to be...
Jul 19, 2011 | Medical billing basics
Highmark Announces Adjustments to UCR and Premier Blue smShield Reimbursement As noted in the April 2011 issue of PRN, Highmark filed with, and has now received approval from, the Pennsylvania Insurance Department to implement a broad range of UCR Level II...
Jul 13, 2011 | Medical billing basics
With regards to Standard Fracture Care, a patient’s fracture follow-up can be billed by the doctor. The doctor must make sure, however, that the appropriate procedure codes as well as the ICD-9 code is used. This pertains to the site of the fracture. ...
