Basic billing concept

Important fields of the CMS 1500 Form during the claim submission

Important fields of the CMS 1500 Form during the claim submission Claims submitted for payment should be in a HIPAA […]

HOW TO FILE AN ADJUSTMENT REQUEST If you have been paid, but paid incorrectly for a claim or received payment

Examples for the limiting charge after applying the EHR and PQRS negative adjustments Non-Par Non-Assigned Claim No EHR/PQRS Adjustment: Original

New field qualifiers on 17 CMS 1500 Claim Form Instructions: Revised for Form Version 02/12 Form Version 02/12 will replace

UB 04 Medicare Crossover for Other Blue Plan Members (UB-04) Completing a claim correctly when a member from another Blue

The Medicare Provider Enrollment, Chain, and Ownership System (PECOS) is an online provider and supplier enrollment system used to: **

Medicare coverage on Seasonal Flu Vaccinations Generally, Medicare Part B covers one flu vaccination and its administration per flu season

New Timeframe for Response to Additional Documentation Requests Provider Types Affected This MLN Matters Article is intended for physician, providers

Clinical Indications – When Gender Reassignment Surgery is covered GRS may be considered medically reasonable and necessary when all the

How to bill Observation care on UB 04 – Locator 46 General Billing • Report inpatient services with appropriate revenue