by Lori | Dec 18, 2014 | Medicare payment basics
PWK allows documentation to be submitted with an initial claim Effective October 1, 2012, First Coast Service Options Inc. (First Coast) implemented the PWK (paperwork) segment of the X12N version 5010. PWK allows for voluntary submission of supporting documentation...
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 ยง70.2 above.) The status of these...
by Medical Billing | Aug 9, 2012 | Medicare payment basics
Electronic Claims As of October 16, 2003, all providers and suppliers must submit claims electronically via Electronic Data Interchange (EDI) in the Health Insurance Portability and Accountability Act format, except in limited situations. Electronic versions of...
by Lori | Oct 5, 2010 | Medicare payment basics
Electronic Health Care ClaimsHow to Submit Claims: Claims may be electronically submitted to a Medicare carrier, Durable Medical Equipment Medicare Administrative Contractor (DME MAC), or a fiscal intermediary (FI) from a provider’s office using a computer...
by Lori | Jul 6, 2010 | Medicare payment basics
CPT/HCPCS Codes Group 1 Codes: 64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH Group 2 Paragraph: Note: Use of the following Physical Medicine and Rehabilitation CPT/HCPCS Codes for these treatments is inappropriate: 97032 APPLICATION OF A MODALITY...
