medicalbillingforyou.blogspot.com
medical billing: MEDICAID
http://medicalbillingforyou.blogspot.com/p/medicaid.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Medicaid is a program that pays for medical assistance for certain individuals and families with low incomes and resources. It originates from title XIX of Social Security Act. Generally the State offers coverage to one or more of the following groups:. Subscribe to: Posts (Atom). Comparison of CPT 99212 and 99213. HCPCS code J3490 and NDC number. I am not getting paid when I submit HCPCS code J3490 with the drug name and NDC number. Why?
medicalbillingforyou.blogspot.com
medical billing: Discharge Planning as Part of Community-Based Care Transition Program (CCTP)
http://medicalbillingforyou.blogspot.com/2017/01/discharge-planning-as-part-of-community.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Wednesday, 11 January 2017. Discharge Planning as Part of Community-Based Care Transition Program (CCTP). CMS encourages Home Health Agencies, Hospices, Hospitals, Inpatient Psychiatric Facilities, Long-Term Care Facilities, and Swing Beds to review the guide on “Discharge Planning”(ICN 908184) found in the Medical Learning Network section of CMS. Community-Based Care Transition Program. Improve quality of patient care. Data for 2012 suggests the pr...
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medical billing: What kinds of health problems are linked to excess weight?
http://medicalbillingforyou.blogspot.com/2017/01/what-kinds-of-health-problems-are.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Saturday, 14 January 2017. What kinds of health problems are linked to excess weight? What kinds of health problems are linked to excess weight? Heart disease and strokes. Certain types of cancer. The table and graph below illustrate the significant increase in the percentage of overweight males in the 35-44 years category. Body mass index (BMI) equals weight in kilograms divided by height in meters squared. Scenarios Aerobic Activity Amount/Week.
medicalbillingforyou.blogspot.com
medical billing: Medicare payment for lab cpt code 83036 - important points to consider
http://medicalbillingforyou.blogspot.com/2014/06/medicare-payment-for-lab-cpt-code-83036.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Tuesday, 10 June 2014. Medicare payment for lab cpt code 83036 - important points to consider. Medicare Payment for Clinical Laboratory Services. Before Medicare pays for any test or diagnostic service, two basic criteria must be met:. 1) the service must be covered by Medicare (e.g., certain procedures such as routine screening tests are not covered) and. 2) the service must be medically necessary or indicated. Procedure (CPT) Codes and Modifiers.
medicalbillingforyou.blogspot.com
medical billing: HCPCS code J3490 and NDC number
http://medicalbillingforyou.blogspot.com/2013/07/hcpcs-code-j3490-and-ndc-number.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Tuesday, 16 July 2013. HCPCS code J3490 and NDC number. I am not getting paid when I submit HCPCS code J3490 with the drug name and NDC number. Why? HCPCS code J3490 is a non-specific code that should be used only when another 'J' code does not describe the drug being administered (i.e., CMS has not assigned a specific 'J' code to the drug used). The appropriate 'J' code should be used if one has been assigned to the drug. Indicate 'compunded drugs,...
medicalbillingforyou.blogspot.com
medical billing: CMS MUE : Automated claim processing
http://medicalbillingforyou.blogspot.com/2017/01/cms-mue-automated-claim-processing.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Friday, 13 January 2017. CMS MUE : Automated claim processing. The MUE program was developed by CMS in an effort to reduce the paid claims error rate for Medicare claims that result from various circumstances such as:. 183; clerical entries. 183; incorrect coding based on:. O procedure code descriptors. O procedure coding instructions. O established CMS policies. O nature of a service/procedure. O unlikely clinical treatment. Note: Modifier 59 shoul...
medicalbillingforyou.blogspot.com
medical billing: comparison of CPT 99212 & 99213
http://medicalbillingforyou.blogspot.com/2013/07/comparison-of-cpt-99212-99213.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Monday, 8 July 2013. Comparison of CPT 99212 and 99213. CPT 99212 vs 99213. There is set of Evaluation and Management Guidelines that appear every year that the provider must become aware of. There are several physicians who might be wondering whether to use coding 99212 or 99213 this will help you to go through any ecision making process that is conducted without much difficulty. The three equal elements of medical decision making are:. Only two of...
medicalbillingforyou.blogspot.com
medical billing: Medicare Appeal Council : Redetermination Levels
http://medicalbillingforyou.blogspot.com/2017/01/medicare-appeal-council-redetermination.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Sunday, 15 January 2017. Medicare Appeal Council : Redetermination Levels. First level of appeal: Redetermination. Second level of appeal: Reconsideration. Third level of appeal: Hearing by an administrative law judge (ALJ). If at least $140 remains in controversy following the qualified independent contractor's (QIC's) decision, a party to the reconsideration may request an administrative law judge (ALJ) hearing within 60 days of receipt of the rec...
medicalbillingforyou.blogspot.com
medical billing: Procedure code G0108 & G0109 - 2014
http://medicalbillingforyou.blogspot.com/2013/06/procedure-code-g0108-g0109-2014.html
Medical Billing and Coding. EDUCATION AND CAREER GUIDE. Sunday, 23 June 2013. Procedure code G0108 and G0109 - 2014. Medicare provides coverage of diabetes self-management training (DSMT) services for beneficiaries who have been recently diagnosed with diabetes, determined to be at risk for complications from diabetes, or were previously diagnosed with diabetes before meeting Medicare eligibility requirements and have since become eligible for coverage under the Medicare Program. The number of initial or...
