Jun 9, 2011 | Medical billing basics
Chiropractic services are subject to national regulation, which provides definitions, indications and limitations for Medicare payment of chiropractic service. Please see Medicare Benefit Manual sections referenced above for national definitions, indications and...
Jun 8, 2011 | Medical billing basics
Medical coding specialists are professionals that transfer the information/data found in patients’ medical charts into codes used by billers to bill the insurance carrier and patients accordingly. Medical coding jobs are in high demand in the job market, but...
Jun 3, 2011 | Medical billing basics
What are the Reimbursement Mappings? The Reimbursement Mappings were developed by CMS in response to non-Medicare industry requests for a “standard one-to-one reimbursement crosswalk,” which is a temporary mechanism for mapping ICD-10-CM/PCS codes submitted on or...
Jun 1, 2011 | Medical billing basics
VERIFICATION OF INSURANCE INFORMATION During patient registration, it is important for front office staff to identify whether a beneficiary’s expenses should be covered by other insurance before, or in addition to, Medicare. This information helps the office determine...
May 31, 2011 | Medical billing basics
Why Do We Need the General Equivalence Mappings? * ICD-10 is much more specific: For diagnoses, there are 14,025 ICD-9-CM codes and 68,069 ICD-10-CM codes; andFor procedures, there are 3,824 ICD-9-CM codes and 72,589 ICD-10-PCS codes (in the 2009 versions...
May 28, 2011 | Medical billing basics
What are the General Equivalence Mappings? The GEMs are a tool that can be used to convert data from ICD-9-CM to ICD-10-CM and PCS and vice versa. Mapping from ICD-10-CM and PCS codes back to ICD-9-CM codes is referred to as backward mapping. Mapping from ICD-9-CM...
