by Medical Billing | Nov 29, 2016 | Medicare payment basics
Pediatric Flu Vaccine: Special Situations In the event a Medicaid provider does not have VFC pediatric influenza vaccine on hand tovaccinate a high priority VFC eligible Medicaid enrolled child, the provider should use pediatric influenza vaccine from private...
by Medical Billing | Jan 19, 2015 | Medicare payment basics
Pediatric Physician Rate Increase Effective January 1, 2015, Current Procedural Terminology (CPT®) codes 99201 through 99496 will be reimbursed with an enhanced rate to pediatric physicians billing fee-for-service with one of the following specialty codes: 001, 019,...
by Medical Billing | Apr 9, 2014 | Medicare payment basics
Backdated Medicaid Cards If a member receives a backdated medical card and the provider wishes to accept it and bill Medicaid for services that occurred over a year ago, the claims must be billed within one year of the issuance of the card. Claims must be...
by Medical Billing | Mar 27, 2014 | Medicare payment basics
Beginning January 1, 2014, some services will be assigned copay amounts for Medicaid Members. The following copays will apply to claims with a date of service on or after January 1, 2014: Service TIER 1 Up to 50.00% FPL TIER 2 50.01-100.00% FPL ...
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...