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Chronic Care Management Coding Guidelines Effective January 1, 2017

Health Insurance Companies Process 1 in 5 Claims Wrong

Category Archives: How to Bill Medicare

Here are a collection of posts and articles on how to bill Medicare.

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

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. Continue Reading

Q&A: Am I Just Dealing with a Coding Department that is Ignorant?

Q&A: Am I Just Dealing with a Coding Department that is Ignorant?

Medicare Patient Wonders if 99397 was Coded Correctly I received the following comment and questions from one of my readers, Mark. He is a Medicare patient who had a full routine physical exam from his physician. Mark asks if his doctor coded the physical properly with a 99397, which is not covered by Medicare, or… Continue Reading

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Disclaimer

The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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