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Chronic Care Management: 5 Tips for Billing Success

Health Insurance Companies Process 1 in 5 Claims Wrong

Tag Archives: CMS

The Centers for Medicare & Medicaid Services (CMS) ten Field offices
reorganized in February 2007 moving from a geography-based structure to
a Consortia structure based on the Agency’s key lines of business:
Medicare health plans, Medicare financial management, Medicare fee for
service operations, Medicaid and children’s health, survey &
certification and quality improvement. The intent of the new structure
is to improve performance through uniform issue management, consistent
communication and leadership focused on achieving the Agency’s strategic
action plan)

New Medicare Advance Beneficiary Notice ABN CMS-R-131 to be used by January 1, 2012

New Medicare Advance Beneficiary Notice ABN CMS-R-131 to be used by January 1, 2012

Use New Medicare Advance Beneficiary Notice ABN CMS-R-131 by January 1, 2012 I received an e from the CMS LISTSERV today reminding me about the new Advance Beneficiary Notice ABN that we all have to start using by January 1, 2012.  I wanted to that information with you all, just in case you do not to the Medicare… Continue Reading

Medicare Hospice Modifier GV and GW

Medicare Hospice Modifier GV and GW

Medicare: How to use Modifier GV and Modifier GW We do medical billing for physician offices that do Care Plan Oversight (CPO) for Hospice Patients.  When billing for those services, G0182, we use the following Medicare modifiers: GV Modifier The GV modifier is used when a physician is providing a service that is related to the diagnosis for which… Continue Reading

Meaningful Use Requirements Final Rule is a Massive 864 Pages

Meaningful Use Requirements Final Rule is a Massive 864 Pages

Meaningful Use Requirements Final Rule is Out The final rule for meaningful use was just realeased by the Department of Human Services HHS, Centers for Medicare & Medicaid Services CMS. It is a masive 864 page document that includes both a core set and menu set of objectives that are specific to eligible professionals and hospitals.  There… Continue Reading

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

Does Your Medicare Patient Need To Sign An Advance Beneficiary Notice (ABN) CMS-R-131? Yes!  When applicable, your Medicare patients should always sign an Advance Beneficiary Notice (form CMS-R-131). An ABN is not used for commercial insurance companies. What Is An ABN? An ABN is a Medicare waiver of liability that providers are required to give a… Continue Reading

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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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