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 pocket.
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Chronic Care Management: 6 Tips for Documentation Success
Take advantage of the Chronic Care Management reimbursement opportunity with these documentation tips!
Continue ReadingHow 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.
Continue ReadingMedicare 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.
Continue ReadingMedical 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.
Continue Reading11 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.
Continue ReadingTop 5 Resources for Billing Medicare Annual Wellness Visits G0438
Billing Medicare Annual Wellness Visits (G0438 and G0439) and the PPPs. Be a great Medical Biller!
Continue Reading5 Ways Physician Practices Can Prepare for the Affordable Care Act (ACA)
How to prepare your medical physician practice for the Affordable Care Act.
Continue ReadingYet Another Medicare Influenza Vaccine Q Code: Q2034 Agriflu
Medicare code for the flu shot with the brand name Agriflu. Learn more about the new HCPCS medicare flu vaccine codes.
Continue ReadingQ&A: Am I Just Dealing with a Coding Department that is Ignorant?
Mark asks if his doctor coded his full routine physical exam properly using CPT code 99397, which is not covered by Medicare, or if the doctor should have used the Annual Wellness Visit code, G0438 (or G0439), which is covered by Medicare. What’s the difference? Which code does Medicare pay?
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