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
New Work Plan item bodes ill for hospices. Hospices should get ready to defend their industry’s reputation all over again. Why? The HHS Office of Inspector General (OIG) plans to conduct a nationwide review of hospice beneficiary eligibility, it says in a new addition to its Work Plan. The watchdog agency plans on “focusing on […]
The post OIG Shines Spotlight on Hospice Eligibility appeared first on AAPC Knowledge Center.
I am curious, patient with Medicare advantage plan Such as Medicare plus blue and Dual Eligibility plan, Should I bill to advantage plan or do I have to bill to Medicare and Medicaid after billing advantage plan. Please advise.
Jinit
Does anyone have any ideals on how to get a claim like this paid?
Thank in advance
Not sure if your physician practice is eligible to participate in the Merit-based Incentive Payment System (MIPS)? No worries: The Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians need to take part in MIPS. In late April through May, practices will get a letter from the Medicare administrative contractor that […]
AAPC Knowledge Center
CPT code G0439 is used for Subsequent AWV after 12 months of Initial AWV. However, what if the patient comes 36 months after their initial AWV, which CPT code should be used for billing, G0438 or G0439?
Any advise is appreciate it.
Thank you.
With less than three months before the start of the Merit-based Incentive Payment System (MIPS) 2017 performance period, there’s really no time to waste in readying your practice to meet the reporting requirements — assuming you are a MIPS eligible clinician. The Centers for Medicare & Medicaid Services (CMS) made one very small and easily overlooked change for determining […]
AAPC Blog
Claims for reimbursement of radiology services are most often denied by the payer, whether it is Medicare or a commercial insurance company, because they contain inaccurate information about the patient’s eligibility for coverage. This can occur for many reasons, some of which may not be within the control of the radiology practice, but it usually can be corrected by improving the process of recording data at the time of patient registration. In this new healthcare economy where radiology practices are under pressure to add value to the patient care delivery system, effective management of claims denials can strengthen the relationship between the practice or imaging center and the hospitals they serve.
