Jan 21, 2010 | Medical billing basics
There are totally 81 Fields.Form Locator (FL) 1 – (Untitled) Provider Name, Address, and Telephone NumberRequired. The minimum entry is the provider name, city, State, and ZIP code. The postoffice box number or street name and number may be included. The State...
Jan 21, 2010 | Medical billing basics
The CMS needs to be ready to receive the new UB-04 by March 1, 2007.Institutional providers can use the UB-04 beginning March 1, 2007, however, they will have a transitional period between March 1, 2007 and May 22, 2007 where they can use the UB-04 or the UB-92....
Jan 20, 2010 | Medical billing basics
Authorized services provided to the member must be reflected on the claim as agreed to during the authorization process. Procedure codes, frequency, amount, and duration of services must exactly match the information in the authorization. If a medical need for a...
Jan 20, 2010 | Medical billing basics
What is Direct Deposit? DIRECT DEPOSIT is a convenient service that electronically reimburses you for claim payments. Reimbursement payments are available on the day the direct deposit is electronically transferred to your bank account. What are the benefits of Direct...
Jan 20, 2010 | Medical billing basics
Universal is pleased to announce a new product under our Medicare HMO line of business for 2010. The name of the new product is the Medicare Masterpiece Premier HMO Plan. The member ID cards will be identified with “HR” as the prefix to the member number on the...
Jan 13, 2010 | Medical billing basics
How to submit the claim. This document is from BCBS NJ and it will help you to understand the process.Horizon NJ Health is required by State and Federal regulations to capture and report specificdata regarding services rendered to its members. All services rendered,...
Jan 13, 2010 | Medical billing basics
FB Forwarding Balance A negative value represents a balance moving forward to a future payment advice. A positive value represents a balance being applied from a previous RA. A reference number (the original ICN and HIC) is applied for tracking purposes. Code...
Jan 12, 2010 | Medical billing basics
Evaluation and management (E/M) services refer to visits and consultations furnished by physicians. Billing Medicare for a patient visit requires the selection of a CPT code that best represents the level of E/M service performed. For example, there are five CPT codes...
Jan 12, 2010 | Medical billing basics
When billing for a patient’s visit, codes are selected that best represent the services furnished during the visit. The two common sets of codes that are currently used are:1. Diagnostic or International Classification of Diseases, 9th Edition, Clinical Modification...
Jan 12, 2010 | Medical billing basics
“If it isn’t documented, it hasn’t been done” is an adage that is frequently heard in the health care setting. Concise medical record documentation is critical to providing patients with quality care as well as to receiving accurate and timely reimbursement for...
