Dec 15, 2009 | Medical billing basics
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...
Dec 15, 2009 | Medical billing basics
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...
Dec 14, 2009 | Medical billing basics
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...
Dec 14, 2009 | Medical billing basics
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...
Dec 14, 2009 | Medical billing basics
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...
Dec 11, 2009 | Medical billing basics
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Dec 10, 2009 | Medical billing basics
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...
Dec 10, 2009 | Medical billing basics
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...
Dec 9, 2009 | Medical billing basics
CPT billing codes are majorly categorized as belowEvaluation and Management Services ………….99201 – 99499Anesthesiology…………………………….00100 – 01999, 99100 –...
Dec 9, 2009 | Medical billing basics
CO 65Procedure code was incorrect. This payment reflects the correct code.Medicare replaces the correct CPT code and paid the amount. In future use this cpt. co 133 The disposition of this claim/service is pending further review.The claims are pending for some...
