by Lori | Jun 11, 2019 | Medicare payment basics
Medicare Second Payer Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first. (The private insurance industry generally talks about “Coordination of Benefits” when assigning responsibility for first...
by Lori | Oct 24, 2016 | Medicare payment basics
Coding for Immune Globulins, Vaccines and Toxoids CPT-Codes (Current Procedural Terminology) are assigned by the AMA and used to bill for Immune Globulins, Vaccines and Toxoids. • Immune Globulins: Products listed include broad-spectrum and anti-infective immune...
by Lori | Oct 9, 2016 | Medicare payment basics
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? Answer: Please have the following information available prior to calling about an EDI-related issue so we may assist you: Provider Transaction Access Number...
by Lori | Oct 9, 2016 | Medicare payment basics
Medicare systems contain extensive personally identifiable information on beneficiaries. As established by the Privacy Act and the Health Insurance Portability and Accountability Act (HIPAA), beneficiaries have a right to expect that their data will not be seen by...
by Lori | Oct 9, 2016 | Medicare payment basics
How to Enroll in Medicare Electronic Data Interchange The Centers for Medicare & Medicaid Services (CMS) Standard Electronic Data Interchange (EDI) Enrollment Form must be completed prior to submitting electronic media claims (EMC) or other EDI transactions...