Feb 10, 2012 | Medical billing basics
Introduction Submitting Medicaid claims via electronic media offers the advantage of speed and accuracy in processing. Providers may submit electronic claims themselves or choose a billing agent that offers electronic claim submission services. Billing agents must...
Feb 6, 2012 | Medical billing basics
Claims Submission Checklist Introduction Use the following checklist before submitting a claim to the fiscal agent for reimbursement. Checklist * Is the form typed or printed in black ink? * Is the copy legible? * Were instructions in the handbook...
Feb 2, 2012 | Medical billing basics
The following scenario, claim will not be denied as timely filing limit exceeded. Exceptions to the 12-Month Time Limit Exceptions to the 12-month claim submission time limit may be allowed if the claim meets one or more of the following conditions: ·...
Jan 28, 2012 | Medical billing basics
Timely Claim Submission Medicaid providers should submit claims immediately after providing services so that any problems with a claim can be corrected and the claim resubmitted before the filing deadline. Clean Claim In order for a claim to be paid, it...
Jan 7, 2012 | Medical billing basics
PATIENT TYPE For purposes of billing for E/M services, patients are identified as either new or established, depending on previous encounters with the provider. A new patient is defined as an individual who has not received any professional services from the...
Jan 3, 2012 | Medical billing basics
New Waived Tests Effective Date : January 1, 2012Implementation Date : January 3, 2012 STOP- Impact to youIf you do not have a valid, current, Clinical Laboratory Improvement Amendments of 1998 (CLIA) certificate and submit a claim to your Medicare Carrier or...
Dec 29, 2011 | Medical billing basics
CPT 99212 checklist Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components For code 99212, the office or other outpatient visit is for the evaluation and management of an...
Dec 27, 2011 | Medical billing basics
CPT 99212 vs 99213 There is set of Evaluation and Management Guidelines that appear every year that the provider must become aware of. There are several physicians who might be wondering whether to use coding 99212 or 99213 this will help you to go through any...
Dec 24, 2011 | Medical billing basics
CPT 99354 – Prolonged physician service in the office or other outpatient setting, requiring direct (face-to-face) patient contact beyond the usual service – first hour (List separately in addition to code for office or other outpatient Evaluation and Management...
Dec 21, 2011 | Medical billing basics
Registration Eligible Professional Registration at the national level for the Medicaid EHR Incentive Program opened in January 2011. However, the Medicaid EHR Incentive Program is administered individually by each state, therefore registration start dates vary from...