Frequently Asked Questions

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Quarterly Frequently Asked Questions (FAQs): March 2019 03/28/2019
What specific information can ancillary staff (e.g., RN, LPN, CNA) document during an evaluation and management (E/M) encounter? 03/20/2019
Why are my claims rejecting Medicare Secondary Payer (MSP) with Reason Code CO-16 and remarks codes MA04 and MA130 and what do I need to do? 03/19/2019
After I receive a 277CA will I receive anything else? 03/13/2019
How can I tell if I am set up for Electronic Billing? 03/13/2019
How do I restore a remit file? 03/13/2019
If we see a patient for an Annual Wellness Visit on February 14, 2018, would their next AWV eligible date be February 14, 2019? 03/13/2019
Is it acceptable to use "noncontributory, unremarkable or negative" when reporting past, family or social history? 03/13/2019
Is the 277CA returned for each test submission? 03/13/2019
PC-ACE Pro32 software FAQs 03/13/2019
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 03/13/2019
What is a Network Service Vendor? 03/13/2019
What is an approved software vendor? 03/13/2019
What provider address should I include on the EDI enrollment forms? 03/13/2019
What provider name should I include on the EDI enrollment forms? 03/13/2019
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 03/13/2019
What Submitter Name should I enter on the Provider Authorization form? 03/13/2019
When is a provider authorization form required? 03/13/2019
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 03/13/2019
Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values? 03/13/2019
A provider left our group. We have billed Locum Tenens for 60 days. If we use a different substitute physician every 60 days, can we continue to bill Locum Tenens under the exiting physician's National Provider Identifier (NPI)? 03/12/2019
Am I a type/specialty that can order or refer items or services for Medicare beneficiaries? 03/12/2019
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 03/12/2019
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service? 03/12/2019
Are observation codes submitted by the hour or by the calendar date? 03/12/2019
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