In CMS
Sep 25th, 2017
With so many forms being required these days, it is easy to get lost in the terminology, rules, and coding requirements. This is a frequent issue with the Medicare-Fee-For-Service program and the Advance Beneficiary Notice (ABN) form. Most of us are familiar with the term ABN and have a general idea of when it should ...
In Billing
Jan 2nd, 2015
You should present Medicare patients with an Advanced Beneficiary Notice (ABN) only if the provider believes that Medicare may deny an otherwise covered item or service. If the patient is not given this advanced notice, providers may not shift financial liability for such items or services to beneficiaries should a claim for such items or ...
Sep 1st, 2013
Coding/Billing: Facility Emergency situations call for unique coding of non-physician provider services. By Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC Ambulance codes and guidelines are uniquely applicable to non-physician providers. To make coding these services even more of a challenge, procedure codes relevant to emergency medical service (EMS) providers aren’t found in the CPT® codebook. ...
Jul 1st, 2012
By Susan M. Edwards, CPC, CEDC Correct coding and billing for durable medical equipment (DME) raises many questions, such as: What constitutes DME? Besides the order and physician signature, what other information do I need to submit a claim? Are there modifiers? To shed some light on ambiguous areas, we’ll answer these questions and more. ...
In Billing
Dec 10th, 2010
Are you aware that Medicare doesn’t cover ambulance transports to doctors’ offices? According to TrailBlazer Health Services, jurisdiction 4 Medicare administrative contractor (MAC), many coders get tripped up on this sort of claim and inappropriately report non-emergent ambulance transportation services to physician offices. Correctly Code Non-Emergent Ambulance Transport was last modified: July ...