by Lori | Aug 14, 2015 | Medicare payment basics
New coding requirements related to Healthcare Common Procedure Coding System (HCPCS) modifier -59 could impact your reimbursement. Change Request (CR) 8863 notifies MACs and providers that the Centers for Medicare and Medicaid Services (CMS) is establishing four new...
by Lori | Dec 5, 2011 | Medicare payment basics
When the previous instructions have been followed and a valid ABN on file, the following modifiers should be used to notify Medicare: GA Use to indicate that an ABN was given as required by payer policy. A copy of the ABN does not have to be submitted but must be made...
by Lori | Mar 20, 2011 | Medicare payment basics
Resubmitting Claims with Upgrade Modifiers – Effective 02/04/2011 Recently the Durable Medical Equipment Medicare Administrative Contractors (DME MAC) issued bulletin articles regarding the use of upgrade modifiers in conjunction with HCPCS codes subject to the...
by Medical Billing | Dec 20, 2010 | Medicare payment basics
HCPCS CODES: EQUIPMENT: Group 1 Codes: E0424 STATIONARY COMPRESSED GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBING E0425 STATIONARY COMPRESSED GAS SYSTEM, PURCHASE; INCLUDES...
by Lori | Dec 1, 2010 | Medicare payment basics
Modifier Listing for Medicare Part B Origin/Destination modifiers D Diagnostic or therapeutic site E Residential, custodial facility G Hospital-based dialysis facility H Hospital I Site of transfer between modes of ambulance transfer J Non-hospital based dialysis...
