by purush167 | Sep 13, 2022 | Medicare payment basics
Introduction – WCMSA If you have decided to self-administer your CMS-approved Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA), this Toolkit can help you manage your account appropriately and satisfy Medicare’s interests related to future medical...
by purush167 | Aug 24, 2022 | Medicare payment basics
Overview of Medicare Cost Reports Institutional providers certified by the Medicare program are required to submit cost reports to Medicare Administrative Contractors (MACs) annually (Centers for Medicare and Medicaid Services [CMS], 2016). CMS makes cost report data...
by purush167 | Jul 3, 2022 | Medicare payment basics
HPV Vaccination CPT CODES There are three different CPT® codes developed for reporting of HPV vaccination: 90649 Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use 90650 Human Papillomavirus vaccine, types...
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...
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...
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...
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...
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...
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...
by purush167 | Jan 29, 2022 | Medicare payment basics
New code COVID Vaccine Administration Codes 0001A – Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 30 mcg/0.3...
