Medicare rates

Medicare rates are changed in every year. If you want to check the Medicare reimbursement rate then please go to your local Medicare website and Find the fee schedule for your locality. Basically Fee schedule have tow parts they are 1. Professional service 2. For...

Hospital Getting More Medicare payment

Medicare Payment Information For individual hospitals, the average Medicare payment is the total Medicare payment made to the hospital divided by the number of discharges for each DRG. The average hospital payments for the same DRG can vary. A hospital can get a...

Medicare billing

Medicare is the Major insurance in Medical billing hence billing to Medicare is very important than any one.Hence we have decided to write exclusive for Medicare billing. In this section we will have discuss the rules for Medicare billing. We keep on updating this...

Medicare payment

Medicare always paid 80% allowed amount and remaining 20% will be coinsurance. To find the Medicare fee schedule go to your local Medicare website and get the fee schedule for particular insurance. For Example CPT 99213 – Allowed amount is $60.45 hence Medicare...

DIAGNOSTIC PROCEDURES/PATHOLOGY MODIFIERS

CPT Modifier 26 Professional component only – Use to indicate that the physician component is reported separately from the technical component for the diagnostic procedure performed CPT Modifier 90 Reference Lab – Used to indicate a lab test sent to an...

Blue Cross Blue shield claim submission address

BCBS OF OREGON PO BOX 1071 PORTLAND, OR 97207 800-452-7390 BCBS OF PUERTO RICOFDR AVE CAPANA HGTS,PR 00920 888-272-9078 BCBS OF QUEBECPO BOX 910 STN B MONTREAL, PQ H3B358 800-361-6068 BCBS OF RHODE ISLAND444 WESTMINSTER ST PROVD, RI 02903 800-527-7290 BCBS OF...

CPT code modifiers

Modifiers A modifier provides the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but has not changed in its definition or code. The judicious application of...

Medicare suffix

Medicare SuffixesMEDICARE HIC NUMBER SUFFIXES Effective for cards issued in or after September 1990, HCFA is revising the appearance and composition of Medicare Cards. The new cards are plastic, not paper. The new cards will show “Part A” immediately following...

CPT billing codes

CPT billing codes are majorly categorized as belowEvaluation and Management Services ………….99201 – 99499Anesthesiology…………………………….00100 – 01999, 99100 –...