Sep 12, 2011 | Medical billing basics
Mandatory Fifth Digit A 3-digit code is the primary classification for an illness or injury, a 4-digit code is a secondary classification of the same illness or injury, and a 5-digit code is a classification of the same illness or injury. Notes are also used...
Sep 9, 2011 | Medical billing basics
• CPT Divided into fourteen subsections: Organ or Disease Oriented Panels 80048* – 80076 Drug Testing 80100 – 80103 Therapeutic Drug Assays 80150 – 80299 Evocative/Suppression Testing 80400 – 80440 Consultations (Clinical Pathology) 80500...
Sep 7, 2011 | Medical billing basics
CPT code and description 99000 – Handling and/or conveyance of specimen for transfer from the office to a laboratory -average fee amount-$0.00 99070 – Supplies and materials (except spectacles), provided by the physician or other qualified health care...
Sep 5, 2011 | Medical billing basics
The number of people opting for medical and healthcare insurance has increased drastically in the last few years. With it the need has siren for a modern, efficient and streamlined method to manage the accounts and billing records of the medical facility. This has...
Sep 3, 2011 | Medical billing basics
If these Primary Care Physician Protocols differ from or conflict with other Protocols in connection with any matter pertaining to Evercare Institutional Customers, these Primary Care Physician Protocols will govern unless statutes and regulations dictate...
Aug 30, 2011 | Medical billing basics
MENTAL DISORDERS [290-319] [290-299] Psychoses. [290-294] Organic psychotic conditions. [295-299] Other psychoses. [300-316] Neurotic disorders, personality disorders, and other non-psychotic mental disorders. [317-319] Mental retardation. NERVOUS SYSTEM AND SENSE...
Aug 29, 2011 | Medical billing basics
Fraud, waste and abuse prevention & training If you identify potential fraud, waste, or abuse, please report it to us immediately so that we can investigate and respond appropriately. Please see the How to Contact Us section of this guide for contact...
Aug 29, 2011 | Medical billing basics
Requirements for Filing an Adjustment An adjustment request is processed as a replacement to the original, incorrectly paid claim. The original payment for the claim is completely deducted. All claim items on the request must be correctly...
Aug 25, 2011 | Medical billing basics
A person working within the profession of medical insurance billers or medical insurance coder’s works in the administrative sector of the medical field, managing patient records and database information, following up on billing for insurance and...
Aug 24, 2011 | Medical billing basics
Medical record standards Medical records will contain all information necessary and appropriate for quality improvement activities and to support claims for services submitted by you. In providing care for UnitedHealthcare members, we expect that you have signed,...
