Highlights
Your One-Stop Free Source for Medical Billing, Coding, Claims
Reimbursement and Medical Office Management Information
Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
Medical Claims Billing and Coding Tips,
Guidelines and Policies on Any Specialty

Do We Have to Collect Copays for Medicare Patients with Secondary Insurance
Having Specialty In-network Copay?

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO/16,
CO-16, CO16  

What is the meaning of the CMS Medicare Claim Denial Reason Code?: PR/19 ,
PR-19, PR19  

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-97,
CO/97, CO97

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-58,
CO/58, CO58

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-50,
CO/50, CO50

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-96,
CO/96, CO96

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-109,
CO/109, CO109

What is the meaning of the CMS Medicare Claim Denial Reason Code?: OA-22,
OA22, OA/22

What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO-140,
CO/140, CO140

How Do I bill for the Nurse Practioner's service? Incident-to versus Own NPI?

Get paid for your Injection Procedures in a timely manner!

Still Confused on How to Use Modifier 50 for Bilateral Procedure?

Here's a scenario, my pain doc performs a Percutaneous Vertebroplasty or
Kyphoplasty and also does the moderate sedation. My question is, can we bill
both the perc vertebroplasty and the moderate conscious sedation?

Be careful with Modifier 25.

The patient was seen by the pain doc for the first time for pain management
consult in the hospital. After the patient was discharged, she made an appoinment
to come to our office for the  first time to see the pain doc!

Avoid Claims Submission Headaches (Who likes claim denial and rejection
anyway?!). Let me Show you the following 5 Helpful Tips.

Can I use modifier 59 for the Evaluation and Management Encounter?

Another Question on New Patient or/versus Established Patient - Different
Condition and Body Part. Which One is it?

The Same tax ID Number. The Same Specialty with many Providers in one Group.

MultiSpecialty Practice. New Patient versus Established Patient.

Insurance Payment paid 100% of Charged Amount. Hmmm strange!

Electronic Billing. Don't Just Read the Verification Report. Read the Response
Report Too!

Help!My Physician is not enrolled with Medicare -can he provide medical services
to a Medicare Beneficiary?

Can your Physician Code for another CONSULT Code when the same patient was
seen less than 3 years? Maximize your reimbursement by knowing the right thing!
Here how and why.

Can You NOT COLLECT Or Can You Waive Patient's Copay? All About Copays
and Copayments.

Medical Billing and Coding Internal Compliancy Program is a MUST in Every
Medical Practice

Problems after NPI Full Implementation. Our Claims Were Denied by Medicare and
Other Insurance Carriers. Why?

Can you bill a Medicare Patient for Missed Appointment or No-Show? If yes, do
you bill Medicare for missed appointment?

Checking your Patients Eligibility for Coverage May Save you Money!

Calling the Insurance Company for Follow-up of the status of your claims is worth
every penny!
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MY BLOG
Knowing your payors' clinical
and reimbursement policies
and guidelines can also help
you maximize reimbursement.

Policies and Guidelines are
there for you to follow.
Otherwise, your claims will be
rejected and the appeal
process can be very tedious.
Read them, it won't hurt.
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