[QUOTE="thomas7331, post: 523798, member: 5404"]
You will need to bill your physician claims and ASC claims separately because you're billing for two different provider types - you can't bill a global... [ Read More ]
You will need to bill your physician claims and ASC claims separately because you're billing for two different provider types - you can't bill a global code because the professional portion needs to b... [ Read More ]
I am working for a company that is opening a Physcian owned ASC. Is the billing for the providers done on a CMS 1500 form and since the provider owns the ASC can we bill the global code, ie 93458 or ... [ Read More ]
I work for a small private clinic with only 1 provider. We usually generate less than 50 claims per week, most of them E/M visits. Due to the amount of claims, using a clearinghouse is not monetaril... [ Read More ]
[QUOTE="TThivierge, post: 522014, member: 216725"]
Hi
This maybe the trend with payers to only look at first 4 dx codes on the CMS 1500 claim even though it takes 8 dx codes. I have heard before insu... [ Read More ]
Hi Bluestar✨
These ultrasounds are for Dx. or symptoms with discovery associated with renal (N28.89 N18.9 etc) or nodes in lungs or chest area (dx R91 or R07) or Aorta ( possible dx I77 or I71). Yo... [ Read More ]
Hi
This maybe the trend with payers to only look at first 4 dx codes on the CMS 1500 claim even though it takes 8 dx codes. I have heard before insurance payers clearinghouse only look at first 4 d... [ Read More ]
[QUOTE="TThivierge, post: 521954, member: 216725"]
Hi Cmcevoy
It should not be dropping to only 4 dx codes for inpatient status. Inpatient UB90 format can take at least 20 dx codes. I believe the pro... [ Read More ]
HCPCS ‘C’ codes are only for facility use; they are not part of the physician fee schedule and will be rejected if billed on a CMS-1500 professional claim.... [ Read More ]
[QUOTE="amyjph, post: 520873, member: 172045"]
Most, if not all, have a limit on the amount of units per day for the same or combinations of "timed" therapeutic codes such as 97110, 97140, 97530, etc.... [ Read More ]
Know the rules for CLIA waived tests to ensure proper claims payment. Modifier QW indicates a Clinical Laboratory Improvement Amendment CLIA waived test performed by a lab with a CLIA certificate. App... [ Read More ]
Use these drug modifiers correctly to ensure timely reimbursement and avoid audits. On Jan. 1 2017 the Centers for Medicare 38 Medicaid Services CMS changed its guidelines to require that providers an... [ Read More ]
Dont let avoidable errors muck up your revenue cycle. A clean claim is one that does not require the payer to investigate or develop the claim before it can fully process it. The claim is received on ... [ Read More ]
Distinguish practitioner DME and outpatient MUEs for Medicare and Medicaid. Medically Unlikely Edits MUEs let you know the maximum units of service a payer expects to see for a code on a date of servi... [ Read More ]
Entrylevel jobs can help you become a more wellrounded medical coder. Dont fear what some may consider entrylevel positions when starting out in healthcare. Every position and person in the revenue cy... [ Read More ]