In Billing
Jun 30th, 2016
AAPC recently expressed  support of proposed rules for new quality-based payment for outpatient care from the Centers for Medicare and Medicaid Services (CMS); however, the organization of more than 155,000 coders, billers, auditors, and other healthcare business professionals  cautions a January 1, 2017 implementation date is too soon for providers to successfully implement changes. AAPC ...
Makes sense out of the new world of electronic claims submission alphabet soup. For coders, billers, and other healthcare business professionals, a crash course on electronic data interchange (EDI) is necessary due to HIPAA requirements that cover all entities involved in transmitting electronic healthcare information (e.g., health plans, healthcare clearinghouses, and certain healthcare providers)...
In Billing
Jun 29th, 2012
The July 1 compliance date for the ASC X12 Version 5010 and NCPDP Version D.0 has arrived. To be paid for Medicare fee-for-service (FFS) claims submitted electronically to payers after 5 pm ET on June 29, your practice must have made the transition to these electronic transaction standards. MACs Perform 4010 Closeout Activities was last ...
In Billing
Jan 13th, 2012
Reporting a non-specific procedure code for a medical service or supply may seem like the simplest solution, but version 5010 makes it a bit more complicated. The new electronic transaction standard, implemented Jan. 1, requires providers and suppliers acting under the Health Insurance Portability and Accountability Act (HIPAA) to also include a corresponding description of ...
In CMS
Mar 11th, 2011
The Centers for Medicare & Medicaid Services (CMS) will host its 15th national education call regarding Medicare fee-for-service’s implementation of Health Insurance Portability and Accountability Act (HIPAA) Version 5010 and D.0 transaction standards on March 30. This is an opportunity to learn how to meet this essential requirement. And as a bonus, participating coders may qualify to ea...