Dec 23, 2015 | Medical billing basics
Bill Type Codes Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types...
Dec 13, 2015 | Medical billing basics
Interactive voice response (IVR) system capabilities The IVR system provides automated information on claims, benefits and more, 24 hours a day, seven days a week. Call the number on the back of the member’s Humana identification card to reach the IVR system....
Dec 10, 2015 | Medical billing basics
Sacral nerve stimulation is defined as the implantation of a permanent device that modulates the neural pathways controlling bladder function. This treatment is one of several alternative modalities for patients with urge urinary incontinence whose incontinence has...
Dec 3, 2015 | Medical billing basics
Medicare Advantage Program Coding for Welcome to Medicare and Annual Wellness Visits IMPORTANT REMINDER: Florida Blue, as a Medicare Advantage plan with four contracts with the Centers for Medicare & Medicaid Services (CMS), reminds you that Medicare...
Nov 27, 2015 | Medical billing basics
Procedure code and Description 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMPLETE BILATERAL STUDY 93971 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; UNILATERAL OR LIMITED...
Nov 16, 2015 | Medical billing basics
Compliance with the provisions in this policy may be monitored and addressed through post payment data analysis and subsequent medical review audits. Vascular studies include patient care required to perform the studies; supervision of the studies; and interpretation...
Nov 12, 2015 | Medical billing basics
Q: What does Medicare consider to be “reportable event” (with regard to the provider/supplier’s enrollment record)? How long does a provider/supplier have to notify their Medicare administrative contractor (MAC) of the event? A: Since providers and suppliers are...
Nov 11, 2015 | Medical billing basics
BILLING INFORMATION Providers must bill on the CMS-1500. Claims can be submitted in any quantity and at any time within the filing limitation. Filing Statutes: Claims must be received within 12 months of the date of service. The following statutes are in addition to...
Nov 7, 2015 | Medical billing basics
Q: What is the difference between the effective date and retrospective billing date? A: The effective date is the later of the following two dates: • The filing date of an enrollment application that was subsequently approved, or • The date the provider first began...
Nov 6, 2015 | Medical billing basics
1. All documentation must be maintained in the patient’s medical record and available to the contractor upon request. 2. Every page of the record must be legible and include appropriate patient identification information...
