Nov 30, 2009 | Medical billing basics
What is Billing provider Billing Provider is nothing but what we entered in the 33 Field of HCFA. It may be a Group name or practice name or individual physician name which is depends upon how the particular entity registered in the insurance In box 33, please enter...
Nov 27, 2009 | Medical billing basics
CO 22 and 109 This care may be covered by another payer per coordination of benefits. Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor. Submit the claims to Primary carrier. If patient said there is no primary...
Nov 27, 2009 | Medical billing basics
Maryland Medicaid P.O. Box 1935. Baltimore, MD 21203 Michigan Medicaid PO BOX 30238. LANSING MI 48909 Minnesota Medicaid claim P.O. Box 64166. St. Paul, MN 55164 Mississippi Medicaid claim P. O. Box 23076. Jackson, MS 39225-3076 Montana Medicaid claim P. O. Box...
Nov 25, 2009 | Medical billing basics
CO – 4 The procedure code is inconsistent with the modifier used, or a required modifier is missing. Check the Modifier and use the correct modifier or Add the Modifier. For example some lab codes requires QW modifier. CO 5 The procedure code/bill type is...
Nov 24, 2009 | Medical billing basics
The physician doesn’t get paid for his services immediately after they are rendered. Majority of the patients have insurance coverage and details of such coverage are provided to the physician before treatment. It is the responsibility of the physician to submit...
Nov 24, 2009 | Medical billing basics
CMS-1500 Complete reviewCMS – 1500 form has 33 Fields and it has some uni Claim Form The upper right margin of the claim form should not be used. This area of the claim form is used by the carrier. Any obstructions in this area will hinder timely and accurate...
Nov 23, 2009 | Medical billing basics
What is the overall billing process? After the provider renders services to the patient, the billing company will submit bills to the insurance company/ payer, using the insurance information that was last provided, as well as information about the reason for the...
Nov 22, 2009 | Medical billing basics
Medicaid of Arizona P. O. Box 1700, Phoenix, AZ 85002 1-800-962-6690 Medical of California P.O. Box 13029 Sacramento, CA 95813-4029 1-800-952-5294 State of Connecticut Medicaid P.O. Box 2991. Hartford, CT 06104 Alabama Medicaid PO Box 5624 Montgomery, AL Delaware...
Nov 20, 2009 | Medical billing basics
CPT Modifiers • two-digit numeric modifiers reported in CPT* • modifier descriptions listed in Appendix A and in the guidelines of each major section • two-character alpha HCPCS modifiers used in certain situations to describe a modification to the procedure performed...
Nov 19, 2009 | Medical billing basics
Anesthesia Billing • Administration of anesthesia reported with five-digit CPT anesthesia procedure codes(00100 – 01999) plus modifier codes.• Do not use surgery codes.• Codes grouped anatomically by area. Many surgical codes may be included in one...
