May 26, 2009 | Medical billing basics
Current Procedure Codes. (CPT) An acronym for Current Procedural Terminology, CPT is a systematic method for coding procedures and services performed by physicians and other health care professionals. Key points about CPT Codes.•CPT codes are five-digit numeric...
May 25, 2009 | Medical billing basics
Coverage not Valid for DOS/Coverage Terminated/ Benefits Exhausted: All these are patient related. However if we had effective dates of each coverage established, then the first two kinds of errors can be identified at the front end itself before the claims are...
May 19, 2009 | Medical billing basics
Gateway EDI I have worked on some clearing house like EMD-ON, ENS, NAVINET but i think that Gateway is best among them because of the below reasons. 1. Excellent Customer support 2. Seperate Report for Rejected claims 3 Lot of reports which we want really. 4....
May 16, 2009 | Medical billing basics
What is Rendering NPI and where it will get printed? If the practitioner rendering the service is part of a billing group, the individual practitioner’s National Provider Identifier (NPI) should be reported in the Rendering Physician # area (2310B loop, segments NM108...
May 14, 2009 | Medical billing basics
What is Practice Management? Practice Management includes the following services: Verifying patient eligibility and benefits. Gathering and entering of patient demographics into your practice management software. Making sure the appropriate CPT and ICD-9 diagnosis...
Apr 29, 2009 | Medical billing basics
Claim Not in System The claim may be refiled (fax / mail) after verifying the claims mailing address, filing time limit, processing time and additional documents to be attached. Claim Denied for Pre-existing Condition The Patient needs to be billed for the service...
Apr 28, 2009 | Medical billing basics
Introduction ASC is a typical outpatient hospital setup where minor surgeries and other surgeries/procedures are performed and which does not expect the patient to be admitted into the hospital for an inpatient stay. The expansion for ASC is Ambulatory Surgery Center....
Apr 27, 2009 | Medical billing basics
Medigap insurance is also known as Medicare supplement insurance.Covering the Gaps in Medicare:If you’re ill or seriously injured, Medicare won’t cover all your expenses. Here’s what you need to know about the policies designed to pick up the slack,...
Apr 12, 2009 | Medical billing basics
We are working on Medical billing for many years but most of us don’t know the exact Medicare filing limit or they are not sure about the way Medicare working.Here is the correct way. Usually every month has different days of filing limit. • For dates of service...
