In Billing
Jun 28th, 2018
Effective July 2, CMS-1500 hard copy claims should not list the same ICD-10-CM diagnosis code twice within item 21. Medicare Administrative Contractors (MACs) and Durable Medical Equipment (DME) MACs have been instructed to return these claims as unprocessable. Here’s Why Medicare is implementing systems changes to ensure that all Part B 837 coordination of benefits/Medicare ...
In Billing
Oct 15th, 2015
By Nancy Clark, CPC, CPC-H, CPB, CPMA, CPC-I Every healthcare provider has at least one taxonomy code that reflects his or her specialty. Ensure that your provider’s specialty is accurately represented by this code set. Although Medicare Part B providers are not required to report taxonomy codes on claim submissions, National Government Services recently urged ...
Aug 30th, 2013
The National Uniform Claim Committee (NUCC) has recently revised the Centers for Medicare & Medicaid Services’ (CMS) 1500 claim form (now version 02/12) to prepare for ICD-10-CM diagnosis codes. The new code set is scheduled for implementation on Oct. 1, 2014. CMS-1500 is the required form for submitting paper claims to Medicare, so be sure ...
Dec 1st, 2012
By John S. Aaron, Jr., CPC When submitting claims involving unlisted services or procedures, you may experience claim denials routinely, even when special reports are included. Very often, you can avoid these denials by knowing your payers’ specific requirements. For example, some payers have forms specifically for review of special reports when unlisted services or ...
The basics of ambulatory surgery center (ASC) coding and billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. Definition of ASC To understand correct coding and billing for an ASC, you must first understand what an ...