How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact
Feb11

How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact

How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact Here’s a good blog post for you to have a better understanding on how to Report Claim for Prolonged Services when rendered without Face to Face or when there is No Direct Patient Contact. Because the truth of the matter and in so many different circumstancres, it may be appropriate to submit and report claims for Prolonged Services...

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​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation
Feb09

​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation

​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation 2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation CMS – The Centers for Medicare & Medicaid Services (CMS) published the 2019 Medicare Physician Fee Schedule Final Rule, which includes a significant expansion of Medicare reimbursement for virtual...

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Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know
Jul31

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...

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List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers
Jul28

List of Medical Modifiers for Durable Medical Equipment DME Billing Services | Modifiers

[et_pb_section admin_label=”section”] [et_pb_row admin_label=”row”] [et_pb_column type=”4_4″][et_pb_text admin_label=”Text”]searched terms: List of Medical Modifiers for Durable Medical Equipment DME Billing Services Keypoints: Make sure you have identified medical necessity for a DME Durable Equipment Item Make sure you have documented the necessity Make sure you have a delivery receipt...

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DME Durable Medical Equipment Billing Coding Modifier RR, KH, KJ, KI – Rental DME Modifier
Jul27

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...

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Type of Service Code for Claims Submission for Medical Provider Services
Jul25

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...

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