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Patient has WC and Medicare insurance? which insurance is primary.

by purush167 | Jun 4, 2022 | Medicare payment basics

Reporting a WC Case All WC occurrences that involve a Medicare beneficiary should be reported to the Benefits Coordination & Recovery Center (BCRC). If you are a Responsible Reporting Entity (RRE) making an initial report of ongoing responsibility, use the Section...

CPT 91311, 0111A, 0112A – Covid Vaccine for children

by purush167 | May 23, 2022 | Medicare payment basics

CPT CODE AND Description 91311 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 25 mcg/0.25 mL dosage, for intramuscular use Administration codes 0111A Immunization...

5 Important points to improve claim submission success rate

by purush167 | Apr 12, 2022 | Medicare payment basics

Check out these five facts if you’d like to boost your claims success rate. Point 1: Check the LCD Guidelines Although emergency department coders are usually very diligent about knowing which ICD-10-CM codes to submit to payers, sometimes important diagnosis coding...

Corrected claim on UB 04 and CMS 1500 – replacement of prior claim

by purush167 | Mar 25, 2022 | Medicare payment basics

What is Corrected Claims A corrected claim is a claim that has already been processed, whether paid or denied, and is resubmitted with additional charges, different procedure or diagnosis codes or any information that would change the way the claim originally...

ID qualifier in CMS 1500 – 0B, 1B, 1C, 1D, ZZ ON UB 04

by purush167 | Mar 25, 2022 | Medicare payment basics

In CMS 1500 form The other ID number of the referring provider, ordering provider, or other source should be reported in 17a in the shaded area. The qualifier indicating what the number represents should be reported in the qualifier field to the immediate right of...

CPT CODE 90471, 90472, 90473, 90474 – Admin procedure codes

by purush167 | Feb 13, 2022 | Medicare payment basics

Vaccine Administration Codes 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) 90472 Each additional vaccine injection (single or combination...
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  • Corrected claim on UB 04 and CMS 1500 – replacement of prior claim

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CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
All our content are education purpose only. All the articles are getting from various resources. If you find anything not as per policy. Please reach out and we would do the investigation and remove the article.
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