Sep 1, 2009 | Medical billing basics
16.Difference between prior authorization and a referral? 17.What is UPIN #? How many characters does it contain? 18.What is pre-existing condition? 19.Full form of HIPAA? 20.Full form of HCFA? 21.Difference between Inclusive and Bundled procedure? 22.“Patient cannot...
Sep 1, 2009 | Medical billing basics
Simple Medical billing Quiz 1.Define Medical Billing? 2.Which payer is also termed as the last resort? 3.What are the other names of a referring physician? 4.What is the full form of AMA? 5.Define Global period? 6.What is the difference between Premium and deductible?...
Sep 1, 2009 | Medical billing basics
As far as UHC concern there are lot of address for claim submission address but most of the time it doesn’t matter which address you submitted. While submit the claim electronically use 87726 as payor id , it would go well with most of the clearing house. United...
Aug 26, 2009 | Medical billing basics
1. No need to enter the base units in HCFA2. Time units are calculated in 15-minute increments. For ex 0 – 15 min will be consider as 1 unit and 16 – 30 Min will be consider as 2 Unit and so on.3. Need to enter the anesthesia timings; it should be printed...
Aug 25, 2009 | Medical billing basics
Medicare Part B – Colorado P.O. Box 650705 Dallas, TX 75265-0705 Claims – Medicare Part B – Indian Health P.O. Box 660159 Dallas, TX 75266-0159 Claims – Medicare Part B – New Mexico P.O. Box 650699 Dallas, TX 75265-0699 Claims –...
Aug 24, 2009 | Medical billing basics
Medicare advantage plan are run by private companies and approved by CMS. Usually employer provide these plan for more coverage than Medicare. In this scenrio all your claims covered by Medicare advantage plan. Medicare and Medigap will not pay your claims. The only...
Aug 24, 2009 | Medical billing basics
Alabama Medicare Part B Claims PO Box 830140 Birmingham, AL 35283-0140 Georgia Medicare Part B Claims PO Box 12847 Birmingham, AL 35202-2847 Tennessee Part B Claims PO Box 12086 Birmingham, AL 35202-2086 Mississippi Medicare Part B Claims PO Box 547 Birmingham, AL...
Aug 23, 2009 | Medical billing basics
Here is the list of top 100 and most popular verbs. Practice it in your regular life so english will not be difficult afterthat. accept close/shut allow organise ask pay believe play borrow put break rain bring read buy reply can/be able run cancel say change see...
Aug 22, 2009 | Medical billing basics
Its a program for Prescription drugs. Its not like Part A or Part B. Patient has to pay their own premum to buy this services. Its run by private companies. All plans will have different costs and benefits from year to year, thus it is advisable for all beneficiaries...
Aug 20, 2009 | Medical billing basics
This is the example EOB for united health care insurance. Click the image to see the full EOB. Explanation and review will be in next post.
