by Medical Billing | Apr 11, 2016 | Medicare payment basics
Significant, Separately Identifiable E&M with Global Day Service—Same Day Policy will apply to all professional services performed in an office place of service, when significant, separately identifiable E/M service (appended with 25 modifier) and any service that...
by Medical Billing | Jan 26, 2016 | Medicare payment basics
Q: If a provider/supplier establishes a new practice, opens a new facility, or closes/changes the address of an existing practice/facility, how long does the provider/supplier have to inform Medicare of the “reportable event”? How should the change be reported? A: Any...
by Medical Billing | Dec 3, 2015 | Medicare payment basics
Reporting place of service (POS) codes Physicians are required to report the place of service (POS) on all health insurance claims they submit to Medicare Part B contractors. The POS code is used to identify where the procedure is furnished. Physicians are paid for...
by Medical Billing | Nov 12, 2015 | Medicare payment basics
Q: Who should sign the certification statement of the CMS-855 provider enrollment application? A: The following shows the information for the various applications: CMS-855A and CMS-855B For initial enrollment and revalidation, the certification statement must be...
by Medical Billing | Oct 22, 2015 | Medicare payment basics
2016 PQRS Payment Adjustment and Informal Review Process On September 11, CMS began distributing letters to Physician Quality Reporting System (PQRS) individual Eligible Professionals (EPs), EPs providing services at Critical Access Hospitals billing under method II,...