by Medical Billing | Apr 26, 2017 | Medicare payment basics
V. Regulatory Impact Analysis Regulations Text Acronyms In addition, because of the many organizations and terms to which we refer by acronym in this final rule, we are listing these acronyms and their corresponding terms in alphabetical order below: A1c Hemoglobin...
by Medical Billing | Aug 8, 2016 | Medicare payment basics
Clinical Trials CMS has specific billing requirements for Clinical Trials. For clinical trials other than IDE A and B devices and Clinical Evidence Development, traditional Medicare A or B will pay primary, waiving any deductible. To ensure claims are processed...
by Medical Billing | Jan 8, 2016 | Medicare payment basics
The DCN number is located on the remittance advice. This number must be used with adjustment/cancellation bills. . CLAIMS PROCESSING A brief description of claims processing methods follows. All paper submitted claims are assigned a unique Document Control Number...
by Medical Billing | Oct 18, 2014 | Medicare payment basics
A “clean” claim is one that does not require the carrier or FI to investigate or develop external to their Medicare operation on a prepayment basis. Clean claims must be filed in the timely filing period. The following bullets are some examples of what are considered...
by Medical Billing | Mar 20, 2014 | Medicare payment basics
How will our office recognize an Exchange member? Our member identification (ID) cards will not change. However, there will be new alpha prefixes on ID cards for Exchange members: VMB = Individual HMO VMA = Individual PPO XJQ = Small Group HMO XJX = Small Group...
