Apr 20, 2015 | Medical billing basics
Railroad Medicare covers certain supplies if you have Medicare Part B and have diabetes. These supplies include: • Blood glucose self-testing equipment and supplies • Therapeutic shoes and inserts • Insulin pumps and the insulin used in the pumps Blood Glucose...
Apr 5, 2015 | Medical billing basics
The Affordable Care Act of 2010 brought new covered services, as well as changes to existing services regarding copayments and deductibles. The addition of the Annual Wellness Visit (AWV) exam is meant to help you maintain good health through a yearly visit with your...
Mar 30, 2015 | Medical billing basics
If you are in the hospital, occupying a bed, are you an inpatient of the hospital, or not? You probably think you are, but that may not necessarily be true. Here’s why: Being ‘inpatient’ means you have been formally admitted to the hospital with a doctor’s order....
Mar 17, 2015 | Medical billing basics
Palmetto GBA Railroad Medicare (original Medicare) covers Part B services, such as doctors’ visits, surgeries, preventive services, lab tests and some ambulance transports or services furnished by other non-practitioners or suppliers. Home health is a covered service...
Mar 8, 2015 | Medical billing basics
Bone Density: Time to Get It Tested Bone Mass Measurement (BMM), or bone density screening is a test that identifies bone mass, detects bone loss, and may determine bone quality. BMM can be performed with a bone ‘densitometer’ or an approved bone...
Feb 25, 2015 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS), is continuing to focus on lowering the Comprehensive Error Rate Testing (CERT) claims paid error rate. Currently, one area of concern identified in the CERT data is denial of outpatient rehabilitation therapy...
Feb 18, 2015 | Medical billing basics
Medicare has broad coverage, but there are some services that are not covered because they are considered reasonable, medically necessary, and appropriate. The purpose of the ABN is to give you the necessary information to make informed decisions about whether or not...
Feb 5, 2015 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS), is continuing to focus on lowering the Comprehensive Error Rate Testing (CERT) claims paid error rate. Currently, one area of concern identified in the CERT data is denial of diagnostic tests due to missing...
Jan 28, 2015 | Medical billing basics
Coverage/Documentation requirements If a physical therapy evaluation is signed by the physician, may it be used as the certification? The criteria for “timely certification” of the initial plan of therapy have been met when the physician/non-physician practitioner’s...
Jan 18, 2015 | Medical billing basics
This page provides basic information about being certified as a Medicare and/or Medicaid End Stage Renal Disease (ESRD) provider and includes links to applicable laws, regulations, and compliance information. ESRD is that stage of renal impairment that appears...
