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...
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...
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) *...
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...
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...