by Medical Billing | Oct 21, 2013 | CPT modifiers
Introduction: Medicare enrolled providers and suppliers are subject to a number of CMS quality reporting requirements and initiatives. The Shared Savings Program regulations address certain overlapping quality initiatives, including the Physician...
by Medical Billing | Sep 26, 2013 | CPT modifiers
Q: What are the differences between my official IACS account profile and profiles within The SPOT? How are they connected to one another? A: There are three different types of profiles for The SPOT: 1. Official IACS account profile for The SPOT — created and...
by Medical Billing | Sep 18, 2013 | CPT modifiers
First Coast Service Options Inc. (First Coast) developed its provider Internet portal — Secure Provider Online Tool (the SPOT) — to offer providers faster access to claims information, benefit/eligibility data, payment history, and analytical data reports....
by Medical Billing | Aug 30, 2013 | CPT modifiers
Appointment Scheduling Member appointments should be scheduled according to necessity of member needs (e.g.emergent, urgent, or routine/well care visits). As a general rule,...
by Medical Billing | Aug 13, 2013 | CPT modifiers
As part of the CarePlus Risk Management Program physicians and other health care providers are expected to report any occurrences and/or adverse incidents of a plan member, whether it...
by Medical Billing | Jul 24, 2013 | CPT modifiers
Special modifiers should be used for the following circumstances [MCM 4175.1, 4175.2]: ** If another physician covers for the designated attending physician, the services of the substituting physician are billed by the designated attending physician under the...
by Medical Billing | Jun 28, 2013 | CPT modifiers
Please note that Golden Rule Insurance Company has a new mailing address. Therefore, we ask that you update your records as soon as possible to replace our previous mailing addresses for submitting claims: Previous Addresses: 7440 Woodland Drive Indianapolis, IN 46278...
by Medical Billing | May 30, 2013 | CPT modifiers
Primary Care Physician Responsibilities The Primary Care Physician will provide Plan members with a medical home and is responsible for coordinating the member’s medical care, which includes the following: • Providing routine and preventive care to ensure good health,...
by Medical Billing | May 23, 2013 | CPT modifiers
Chronic Care Choices This benefits package includes individuals with chronic care disease states who are the most medically vulnerable of our population and who require intensive care. Consequently, members falling within this benefits package will receive complex...
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