by Medical Billing | Aug 24, 2016 | Medicare payment basics
CPT CODE and description 99243 – Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with...
by Medical Billing | Sep 18, 2014 | Medicare payment basics
Medicare regulations at 42 C.F.R. §424.44(b) allow for the following exceptions to the 1 calendar year time limit for filing fee for service claims: (1) Administrative error, if failure to meet the filing deadline was caused by error or misrepresentation of an...
by Medical Billing | Sep 8, 2014 | Medicare payment basics
Filing Claim Where General Time Limit Has Expired As a general rule, where the contractor receives a late filed claim submitted by a provider or supplier with no explanation attached as to the circumstances surrounding the late filing, the contractor should assume...
by Medical Billing | Aug 19, 2014 | Medicare payment basics
The following provides additional information detailing submissions that are considered incomplete or invalid. The matrix in Chapter 25 specifies whether a data element is required, not required, or conditional. (See definitions in §70.2 above.) The status of these...
by Medical Billing | Jun 28, 2014 | Medicare payment basics
RECOUPMENTS Q1: Do suppliers and providers need to take any steps to be repaid for incorrect recoupments resulting from this issue? A1: Supplier claims will be reprocessed and refunds issued by the end of the first week of December 2013. The majority of...