Medicare Payment, Reimbursement, CPT code, ICD, Denial Guidelines
  • Home
  • Finding Medicare fee schedule – HOw to Guide
  • Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
  • LCD and procedure to diagnosis lookup – How to Guide
  • Medicare claim address, phone numbers, payor id – revised list
  • Medicare Fee for Office Visit CPT Codes – CPT Code 99213, 99214, 99203
  • Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
  • Medicare revalidation process – how often provide need to do – FAQ
  • Step by step Guide Medicare participation program
  • Medicare payment basics
Select Page

Handling Medicaid and HMO retroactive eligibility?

by Medical Billing | Oct 12, 2016 | Medicare payment basics

RETROACTIVE ELIGIBILITY Providers should be aware that, since bills have to be incurred before the deductible amount is met, there is always a period of retroactive eligibility. This may be several days or up to a period of three months from the current month. In this...

How to handle Retroactive Medicare entitlement

by Medical Billing | Oct 8, 2016 | Medicare payment basics

 Retroactive Medicare Entitlement The time for filing a claim will be extended if CMS or one of its contractors determines that a failure to meet the filing deadline is caused by all of the following conditions: (a) At the time the service was furnished the...

Does careplus cover diabetes and cardiovascular disorder ?

by Medical Billing | Jul 17, 2013 | Medicare payment basics

 Eligibility Requirements for Diabetes SNP – CareDirect (HMO SNP) * Entitled to Medicare Part A  * Enrolled in Medicare Part B through age or disability * Resident within the Plan’s service area * Diagnosed with diabetes mellitus (ICD-9-CM codes 250.xx) *...

Eligibility verification throught Medicare IVR – Information required

by Lori | Mar 22, 2011 | Medicare payment basics

Eligibility Options Available via the Jurisdiction A DME MAC IVR The DME MAC A Call Center has seen an increase of calls due to eligibility denials for a Medicare beneficiary.  Some of the common ANSI denials associated with eligibility include, but aren’t...

Medicare benefits for Abdominal Aortic Aneurysm (AAA) Screening

by Lori | Mar 15, 2011 | Medicare payment basics

Abdominal Aortic Aneurysm (AAA) Screening Abdominal Aortic Aneurysm (AAA) is a vascular disease with life-threatening implications. If you have a family history of abdominal aortic aneurysm or have smoked at least 100 cigarettes in your lifetime, you are considered at...
« Older Entries

Get Medicare billing update instantly

Medicare reimbursement articles

  • BCBS prefix – Why its important to read correctly.
  • MCO – MIS and reporting system
  • How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO
  • What is Patient driven Grouping model – how its working
  • Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) – Full coverage
  • Understanding Medicare cost Reports and usage
  • CPT code 90649, 90650, 90651
  • Patient has WC and Medicare insurance? which insurance is primary.
  • CPT 91311, 0111A, 0112A – Covid Vaccine for children
  • 5 Important points to improve claim submission success rate

Medicare Guidelines visitors

AMA

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.
  • Medicare payment basics
  • Facebook
  • Twitter
  • Google
  • Instagram
  • RSS

Designed by Elegant Themes | Powered by WordPress