Dec 4, 2019 | Medical billing basics
Procedure code and description 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service99051 Service(s) provided in the...
Sep 28, 2019 | Medical billing basics
CPT code and Description G0446 – annual, face-to-face intensive behavioral counseling (IBT) for cardio-vascular disease (CVD), individual, 15 minutes G0447 – face-to-face behavioral counseling for obesity, 15 minutes G0473 – face-to-face behavioral counseling for...
Aug 17, 2019 | Medical billing basics
Lucrative career opportunities for medical billing specialists When you think of large hospital networks, the first picture that comes to mind are doctors and nurses who are perhaps working relentlessly round the clock to restore the health of individuals who are...
Jul 31, 2019 | Medical billing basics
Medicaid Coverage of Dental Benefits for AdultsKey Points• Poor oral health is widespread among adults in the United States and especially affects those with low incomes.– Adults with incomes below 100 percent of the federal poverty level (FPL) are three times more...
Jul 5, 2019 | Medical billing basics
What Is Hospice Care?Medicaid participants can receive hospice care when they are terminally ill. “Terminally ill” means the patient has been diagnosed with a medical condition that reduces their life expectancy and is near the end of life. Each State can decide the...
Jun 13, 2019 | Medical billing basics
Electronic Bill Attachments (a)Required reports and/or supporting documentation to support a bill as defined in Complete Bill Section 3.0 shall be submitted in accordance with this section. Unless otherwise agreed by the parties, all attachments to support an...
May 23, 2019 | Medical billing basics
Coding Code Description CPT 81401 MED12 (mediator complex subunit 12)(eg, FG syndrome type 1, Lujan syndrome), common variants (eg, R961W, N1007S) 81405 ACTA2 (actin, alpha 2, smooth muscle, aorta) (eg, thoracic aortic aneurysms and aortic dissections), full...
May 6, 2019 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS) requires all health plans to submit Health Insurance Portability and Accountability Act (HIPAA)-compliant 837 claims transactions to CMS for Medicare risk adjustment. Chart review submissions Electronic...
Mar 29, 2019 | Medical billing basics
Covered BENEFITSCSHCS covers services that are medically necessary, related to the beneficiary’s qualifying diagnosis(es), and ordered by the beneficiary’s CSHCS authorized specialist(s) or subspecialist(s). Services are covered and reimbursed according to Medicaid...
Mar 22, 2019 | Medical billing basics
Code Description CPT 0069U Oncology (colorectal), microrna, rt-pcr expression profiling of mir-31-3p, formalinfixed paraffin-embedded tissue, algorithm reported as an expression score 81229 Cytogenomic constitutional (genome-wide) microarray analysis; interrogation of...
