Thanks!
Krystle
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Amount
Billing Office Visit + other and then only getting reimbursed the smaller amount
Thank you!!
Allowed Amount -Deductible
Example Billed 53.00
Allowed 30.01
Deductible 41.60
RC-Amount 22.99
Paid -11.59
PR 41.60
Can someone explain this?
Advanced Care Planning and minimum amount of time needed
I know CPT says 30 minutes, but I thought I saw on a Webinar that it’s the better part of half an hour, or 16 minutes.
Please Help.
Thanks
MDM- “Amount and/or Complexity of Data Reviewed”
If the Physician notes she performs a "Urine Toxicology Screening", checking for RX compliance, and mentions she personally "reviewed the dipstick herself which provides a preliminary result for the potential of more or more drugs", how many points does this qualify for?
One total, for the review and/or order of clinical labs?
Two total, for the independent visualization of a specimen?
Three total, for ordering/reviewing and also independent visualization?
I’ve seen many conversations about this, but no hard documentation that says truly which one. I’ve researched in Optum’s Evaluation and Management Coding Advisor and it isn’t answered for my scenario. I’ve Googled and can only find opinions, but nothing from bigger reputable sources. If anyone has something in writing I would greatly appreciate it!
Thanks so much!
points for amount of data
CERT Errors Amount to Billions in Lost Medicare Revenue
The Centers for Medicare & Medicaid Services (CMS) measures the fee-for-service (FFS) improper payment rate through the Comprehensive Error Rate Testing (CERT) program. According to a 2017 CERT report, CMS had a 90.5 percent proper payment rate and a 9.5 percent improper payment rate for all claims submitted July 1, 2015, to June 30, 2016. […]
AAPC Knowledge Center
MI Auto Carrier Paying Less Than Billed Amount
Some of our claims are paid less than the billed amount with the carrier stating it is "above the usual and customary" for our area.
We do not have a contract with the auto carrier and feel that they do not have the right to pay less than our fee.
Normally, when dealing with an insurance company that we have no contract with, the unpaid portion is billed to the patient.
The auto carrier is informing me and the patient that we are not allowed to balance bill the patient for the remaining balance.
I would appreciate any input on this issue.
Thank you so much.