by Medical Billing | May 14, 2013 | CPT modifiers
Coordination of Benefits Coordination of Benefits (COB) is the process used to process health care payments when a member has coverage with more than one insurer. When it is identified that a member has coverage with more than one insurer: * Providers should...
by Medical Billing | May 9, 2013 | CPT modifiers
From Medicare website you can download the form. For Florida state, I have given the link. http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS588.pdf INSTRUCTIONS FOR COMPLETING THE EFT AUTHORIZATION AGREEMENT All EFT requests are subject to a 15-day...
by Medical Billing | Mar 22, 2013 | CPT modifiers
Why use a modifier? • to indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. • may use a modifier to report — * a service or...
by Medical Billing | Mar 16, 2013 | CPT modifiers
MODIFIERS – Professional Claims BlueCross and BlueShield of Texas/HMO Blue Texas accept all valid CPT and HCPCS modifiers into the claims processing systems. The following modifiers have logic associated with them that might impact the claim. Modifier 22: Denotes an...
by Medical Billing | Jan 9, 2013 | CPT modifiers
Procedure code and Descripiton 99281 (CPT G0380) Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical...
by Medical Billing | Jan 7, 2013 | CPT modifiers
New codes for Evaluation and Management services Complex Chronic care coordination service 99487 Complex chronic care coordination services; first hour of clinical staff time directed by a physician or other qualified health care professional with no face-to-face...
by Medical Billing | Oct 30, 2012 | CPT modifiers
General Physician Visit Exception Beginning August 1, 2012, reimbursement for procedure codes 99201-99215 is limited to two per month for general services. This affects the following provider types and specialties: provider types 25, 26, 29 and 30 with a...
by Medical Billing | Sep 3, 2012 | CPT modifiers
How much is the payment? An individual eligible professional may qualify to earn an incentive payment or receive a payment adjustment equal to a percentage of the total estimated Medicare Part B allowed charges for covered professional services furnished by the...
by Medical Billing | Aug 27, 2012 | CPT modifiers
How much is the payment? A participating individual eligible professional or group practice who satisfactorily reports data on Physician Quality Reporting System quality measures may earn an incentive payment equal to the applicable quality percent of the Secretary of...
by Medical Billing | Aug 23, 2012 | CPT modifiers
Physician Quality Reporting System The Physician Quality Reporting System (previously known as the Physician Quality Reporting Initiative or PQRI) is a voluntary reporting program that provides a combination of incentive payments and payment adjustments to identified...
Recent Comments