Medicare Advance Beneficiary Notice: 5 Tips for Reimbursement Success
The Advanced Beneficiary Notice can be tricky. Here are five strategies to help your team achieve success so that you are not left out of .
Tag Archives for Medicare
Chronic Care Management: 6 Tips for Documentation Success
Take advantage of the Chronic Care Management reimbursement opportunity with these documentation tips!
How to Bill Chronic Care Management 99490 to Medicare
See how to bill for Medicare’s Chronic Care Management (CCM) services using CPT Code 99490. This service is for non-face-to-face coordination of care services for Medicare patients with multiple chronic conditions.
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.
Medical Billing Tips: Medicare Consultation Codes
VIDEO – Medicare consultation codes have been eliminated. Now you will have to bill using regular office visit codes and hospital admit codes. Video Explains.
11 Documentation Elements for Medicare G0101
This article lists the 11 elements of Medicare’s Screening Pelvic Exam G0101. Perform and document at least 7 of 11 elements to get paid. Also don’t forget the ABN.
Will Doctors Stop Seeing Medicare Patients after 20.1% Cut in Reimbursements Next Month?
Will doctors be dropping Medicare? What are Seniors to do? The Centers for Medicare and Medicaid Services (CMS) will reduce payments to Physicians by 20.1% starting on January 1, 2014.
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
How Obamacare Affects You
What You Need to Know About Obamacare Almost 60% of Americans do not know enough about Obamacare, and being out of the loop causes people to question if they support it or not. Who does it affect? Who is involved? What new taxes are included in the Affordable Care Act? These questions and many are answered in our latest infographic from our friends at TopRNtoBSN.com.
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
