Jun 3, 2016 | Medical billing basics
Medicare providers and suppliers that effective for claims with dates of service on or after July 1, 2016, new Healthcare Common Procedure Coding System (HCPCS) codes Q9981 (rolapitant, oral, 1mg); Q9982 (flutemetamol f18 diagnostic); and Q9983 (florbetaben f18...
May 31, 2016 | Medical billing basics
Filing Deadline Filing Deadline Policy Tufts Health Plan follows the guidelines described in the Tufts Health Plan Claims Submission Policy. For professional or outpatient services, Tufts Health Plan must receive claims within 60 days from the date of service for...
May 28, 2016 | Medical billing basics
Reporting place of service (POS) codes Physicians are required to report the place of service (POS) on all health insurance claims they submit to Medicare Part B contractors. The POS code is used to identify where the procedure is furnished. Physicians are paid for...
May 25, 2016 | Medical billing basics
Timely Filing for BBHHF Providers; Timely Filing Policy under Charity Care To meet timely filing requirements for the BBHHF Charity Care program, claims must be received within 180 days from the date of service. Claims that are 180 days old must have been billed and...
May 23, 2016 | Medical billing basics
• Diagnosis Codes: When reporting diagnosis codes a decimal point must not be submitted as the decimal point is implied. • Single Date: Under 5010, a date range must be supplied and a single date is no longer permitted • Admission Date: The admission date and hour...
May 20, 2016 | Medical billing basics
– A critical element in claims filing is the submission of current and accurate codes to reflect the services provided. Correct coding is essential for correct reimbursement. We have applied procedure code edits to outpatient claims for our...
May 17, 2016 | Medical billing basics
Service Locations: I have multiple service locations. How do I ensure all mail and checks go to one address? Checks will be sent to the W9 address listed in the revalidation application. If multiple locations are currently enrolled with separate Medicaid ID numbers,...
May 15, 2016 | Medical billing basics
Diagnostic Imaging If the treating chiropractic provider refers the reading or interpretation of a radiology service to a radiologist, reimbursement for the professional component of that service will only be made to the radiologist, and the treating chiropractic...
May 13, 2016 | Medical billing basics
Filing the Medicare Cross-Over Claim File the claim to your Medicare carrier for primary payment. Claim information will not be crossed over to the member’s supplement plan (the secondary payer) until after Medicare has processed the claim and released it from the...
May 10, 2016 | Medical billing basics
Q: My claim rejected, or was returned to provider, as a duplicate of another claim. Can I resubmit the claim? What steps can I take to avoid duplicate claims? A: Claim system edits are in place to detect duplicate services. The edits search within paid, finalized,...
