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 | Jul 14, 2014 | Medicare payment basics
Retroactive Disenrollment from a Medicare Advantage plan or Program of All-inclusive Care for the Elderly (PACE) Provider Organization There may be situations where a beneficiary is enrolled in an MA plan or in a PACE provider organization, and later becomes...
by Medical Billing | May 9, 2013 | Medicare payment basics
Requirements for Filing a Void Request A void request will be processed as a replacement to the original, incorrectly paid claim. When a claim is voided, the total payment for the original claim is deducted. There is no time limit on submitting a void. The provider...
by Medical Billing | May 4, 2013 | Medicare payment basics
Instructions Check the remittance voucher before submitting a second request for payment. Claims may be resubmitted for one of the following reasons only: · The claim has not appeared on a remittance voucher as paid, denied, or suspended for thirty days...
by Medical Billing | Apr 23, 2013 | Medicare payment basics
Paper Claim Handling When the Medicaid fiscal agent receives a paper claim, it is screened for missing information and necessary attachments. If information or documentation is missing, the claim will not be entered into the Florida Medicaid Management Information...
