Referring provider, Ordering provider and billing provider – CMS 1500 & UB04 form FAQ
Q: What is the difference between an “ordering/referring provider” and a “billing provider”? A: An ordering/referring provider is the individual […]
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Home Health revenue codes 0420, 0430, 0424, 0421
Revenue Code DescriptionHome Health Care Visits0642 Home iv therapy services-iv site care, central line0643 Home iv therapy services- IV start/change,
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Denial code N290 AND N257
NPI: Troubleshooting RejectionsDenial Reason, Reason/Remark Code(s) N257: Information missing/invalid in Item 33 – Missing/incomplete/invalid billing provider supplier primary identifier N290: Information
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CPT 93224, 93225, 93228 , 93229 – ECG monitoring WEM
CPT code and Descriptions 93228 External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24
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UB 04 Medicare Discharge status code
DISCHARGE STATUS This field identifies the discharge status of the patient at the statement through date. This is a
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CPT code j1569, j1459, J1572, J1599 – Injection immune globulin
Procedure codes and DescriptionJ1459 INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MGJ1556 INJECTION, IMMUNE GLOBULIN (BIVIGAM), 500 MGJ1557
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CMS 1500 – BOX 32: SERVICE FACILITILY LOCATION INFORMATION
If services were in a location other than the Provider’s office or the member’s home, enter the name and address
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CPT CODE 99217, 99218, 99219, 99220 – Observation codes
CPT Code Description99217 Observation care discharge day management (This code is to be utilized to report all services provided to a
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Reporting NDC on CMS 1500 claim form
The NDC is used to report prescribed drugs and biologics when required by government regulation, or as deemed by the
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CPT code Venofer – J1756, J2916
HCPCS Codes, Level II: Drug Code for Venofer HCPCS codes are used to identify most drugs and biologics. Venofer®