CMS Medicare Require Global Surgery Reporting for Post-Op Visits for 9 States
CMS Require Global Surgery Reporting for Post-Op Visits Effective July 01, 2017 from 9 States CMS now require providers who are part of a group practice with 10 or more providers; and are practicing in the State of Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon and Rhode Island to report CPT Code 99024 to indicate a… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article...
Physician Provider Going Out of Network with the Insurance Company | Think Again
Going Out of Network with the Insurance Company, think again (especially when you are a Primary Care Provider) How long ago have you revisited your contracts? when was the last time you have reviewed your contracts? – maybe 3, 5 or even 10+ years ago?). Three biggest reasons why provider would pursue going out of network: 1. If you are no longer happy with your payers’ contracted rates or because the contracted...
Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know
If you are participating and contracted with the insurance payers, you cannot legally waive a copayment because your contract (which is a legal document/agreement) is clearly stating and you agree that you need to collect the copay at the time of service or something like that. See, you have a contracted rate with the insurance right? And so this is how it works: Can a Doctor Waive a Patient Copay, Medical Practice Offices Need to...
DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier
These modifiers are used for DME Durable Medical Equipment Services Billing: RR – DME Item – RENTAL Secondary Modifiers: KH, KI, KJ KH — DME Item, FIRST MONTH RENTAL. KI — DME Item, SECOND OR THIRD MONTH RENTAL KJ — DME Item, RENTAL, MONTHS FOUR TO FIFTEEN Always check with your payers, every payer has a different way of billing the DME using these modifiers. Kindly see below DME billing HCFA 1500...
Type of Service Code for Claims Submission for Medical Provider Services
Type of Service Code for Claims Submission for Medical Provider Services 1 = Medical Care Medical services to diagnose and/or treat a medical condition, illness, or injury 2 = Surgical Surgical services provided by a healthcare provider 3 = Consultation Counseling and/or coordination of care with other Physicians, other qualified Healthcare Providers or agencies 4 = Diagnostic X-Ray Diagnostic x-ray provided by a healthcare...
Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital
Inpatient Consult Codes – How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital Codes Your choice of code are based on the 3 Key Components of the Evaluation and Management E/M Services which are the: 1. History, 2. Examination, and 3. Medical decision-making. When billing initial hospital care, all three key… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article...
