Oct 12, 2022 | Medical billing basics
CPT Code Description 47562 Laparoscopy, surgical; cholecystectomy – Average fee amount – $600 – $750 47563 – Laparoscopy, surgical; cholecystectomy with cholangiography 47564 – Laparoscopy, surgical; cholecystectomy with exploration of common duct – Average fee...
Aug 20, 2022 | Medical billing basics
Recognize Common Denial Reasons The most common denial remark codes due to registration errors are: Expenses incurred after coverage terminated2 Expenses incurred during a lapse in coverage3 Claim denied as patient cannot be identified as our insured4 Claim/service...
Jul 3, 2022 | Medical billing basics
CRITICAL CARE SERVICES (CODES 99291-99292) A. Use of Critical Care Codes Pay for services reported with CPT codes 99291 and 99292 when all the criteria for critical care and critical care services are met. Critical care is defined as the direct delivery by a...
Jun 5, 2022 | Medical billing basics
Mailing Paper Attachments for Electronic Claims Providers must follow certain procedures when submitting paper attachments associated with an electronic claim. For 837 electronic claim transactions (submitted through File Exchange), providers must submit all...
Apr 25, 2022 | Medical billing basics
Relative Value Units (RVUs) Medicare uses a physician fee schedule to determine payments for over 7,500 physician services. The fee for each service depends on its relative value units (RVUs), which rank on a common scale the resources used to provide each service....
Mar 27, 2022 | Medical billing basics
Place of Service Codes Place of service codes do not apply when filing the UB-04 claim form. Only type of Bill has been used in UB 04 FORM. Type of Bill Enter the four digit code that identifies the specific type of bill and frequency of submission. The first digit is...
Mar 27, 2022 | Medical billing basics
Procedure code and Description CPT/HCPCS Codes G9685 Evaluation and management of a beneficiary’s acute change in condition in a nursing facility 99304 Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3...
Feb 28, 2022 | Medical billing basics
INTRODUCTION – Applied Behavior Analysis (ABA) Applied Behavior Analysis (ABA) is the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significa improvement in human behavior,...
Feb 12, 2022 | Medical billing basics
• Telemed definitions (time intervals above) CPT codes 99441: Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or...
Jan 4, 2022 | Medical billing basics
Esophagogastroduodenoscopy CPT code full list CPT Code Code Descriptor Change Detail *43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic includes brushing or washing when performed Terminology reconciliation *43236 Esophagogastroduodenoscopy, flexible,...
