by Medical Billing | Apr 22, 2014 | CPT modifiers
With the upcoming MMIS upgrade, WV Medicaid will be editing claims based on NCCI methodologies. An FAQ is posted below with some commonly asked questions. The CMS website was used to formulate responses and can also be a useful source of reference for more information...
by Medical Billing | Mar 27, 2014 | CPT modifiers
NDC Billing Instructions Molina EDI Help Desk is reporting claims are being rejected because more than one NDC code is being billed on one service line. Below you will find instructions on billing multiple NDC codes for the same drug on a claim. For...
by Medical Billing | Mar 13, 2014 | CPT modifiers
Category II Code Description 0509F Urinary incontinence plan of care documented 0518F Falls plan of care documented 0521F Plan of care to address pain documented 1031F Smoking status and exposure to second hand smoke in the home assessed 1032F...
by Medical Billing | Dec 2, 2013 | CPT modifiers
ABN modifiers When a patient is notified in advance that a service or item may be denied as not medically necessary , the provider must annotate this information on the claim (for both paper and electronic claims) by reporting modifier GA (waiver of liability...
by Medical Billing | Oct 30, 2013 | CPT modifiers
These FAQs attempt to address some commonly asked questions about the interaction and timing between the Shared Savings Program and the traditional PQRS. Q1: Are eligible professionals that bill through ACO participant TINs eligible to participate in the PQRS...
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