Tag Archives for Medicare

New Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One

January 1, 2015, CMS will officially roll out four new HCPCS modifiers that can be used when billing Medicare claims. Dubbed the –X{EPSU} subset, they may or may not be used instead of modifier 59. This post has a few examples of when you might use each of these new modifiers. Leave a comment on how your office uses the new modifiers.

Filed Under: How to Bill Medicare, Medical Billing and Coding Topics

Top 5 Resources for Billing Medicare Annual Wellness Visits G0438

Guide on How to Bill G0438 and G0439 Have you been struggling billing Annual Wellness Visits? Having trouble finding the right information on all in one place? There is a lot of confusion out there on how to properly bill Annual Wellness Visits (AWV) G0438 and G0439. We get a lot of questions from other practices on how to bill the AWV and what is included. Some practices are performing a full routine physical exam, which is not an Annual Wellness Continue Reading

Filed Under: Annual Wellness Visit Tips, Medical Billing and Coding Topics

Medicare Holding Claims

Claims for Medicare Patients May be Held by Contractors Here we go again….. Medicare claims may be held until January 16th. Why? Because Medicare needs time to update their systems due to the January 3rd Centers for Medicare & Medicaid Services (CMS) announcement that the 2013 conversion factor will be $34.0230 as the result of the the “Fiscal Cliff” legislation (H.R. 8). Here is what CMS states: “In order to allow sufficient time to develop, test, and implement the revised MPFS [Medicare Physician Fee Continue Reading

Filed Under: Medical Billing and Coding Topics