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How can Medicare Advantage plans (HMOs) affect your practice? 09/03/2019
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 09/03/2019
How do I identify EFT transactions from Palmetto GBA on my bank statement? 09/03/2019
How do I upload attachments to an Appeal request? 09/03/2019
How do Locum Tenens arrangements work? 09/03/2019
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? 09/03/2019
How to Determine an Independent Diagnostic Testing Facility (IDTF) 09/03/2019
I have a Medicare remittance notice that shows an offset with a "WU" remark code. What does the "WU" indicate? 09/03/2019
I have a Medicare Secondary Payer (MSP) situation involving consult codes. The primary insurer still accepts the consult codes, but Medicare does not. How should I submit my MSP claim? 09/03/2019
I provided split post-op care to a patient who had cataract surgery by another doctor. I added the split post-op care modifier to my visit code, but the service was not paid. Why? 09/03/2019
I see a reason code message J1 on my remittance notice that I have never seen before. Could you explain what this message means? 09/03/2019
If a patient had one system complaint that was documented for the review of systems (ROS) and then the provider documented "patient has no other complaints," is that enough to receive a complete ROS? 09/03/2019
If a patient presents to the office for an injection, infusion or venipuncture, would it be acceptable to submit an office or other outpatient visit CPT code? 09/03/2019
If another provider admits a patient into Observation Care and I provide a consult, can I bill the observation care code? 09/03/2019
If I provide a statutorily excluded service am I required to have the patient sign an ABN? 09/03/2019
If our office incorrectly reconstituted Herceptin (Trastuzumab) using sterile water instead of bacteriostatic water, and we are unable to store and use the rest of the vial, can our facility bill for the wasted drug and the administered amount? 09/03/2019
If we see a patient for an Annual Wellness Visit on February 14, 2018, would their next AWV eligible date be February 14, 2019? 09/03/2019
In the E/M documentation guidelines, what does "more detail" regarding the exam mean, and what is the difference between an expanded problem-focused exam and detailed exam? 09/03/2019
Is a supervising physician's signature required for services performed by a physician assistant in the emergency department? 09/03/2019
Is Coumadin or Heparin considered a "drug requiring intensive monitoring for toxicity" under the Table of Risk? 09/03/2019
Is it acceptable to use "noncontributory, unremarkable or negative" when reporting past, family or social history? 09/03/2019
Is the Annual Wellness Visit (AWV) the same as a beneficiary's yearly physical? 09/03/2019
Is the immunosuppressive therapy included in the 90-day global period for kidney transplants? 09/03/2019
Locum Tenens Frequently Asked Questions 09/03/2019
Medicaid is denying a claim crossed over from Medicare stating it is missing the provider's taxonomy number. The claim included the taxonomy number so why was it removed when the claim crossed over to Medicaid? 09/03/2019
Medicare Secondary Payer (MSP) Frequently Asked Questions 09/03/2019
Must a problem be new to the patient or new to the provider in order for it to be considered a "new problem" when scoring diagnosis/management options for an evaluation and management (E/M) service? 09/03/2019
My claim for post-operative services billed with a modifier for "Postoperative Management Only" was rejected. What information was missing? 09/03/2019
My claim was denied with remittance messages 183 and N574. I submitted the name and NPI of the ordering/referring provider. What is wrong? 09/03/2019
My claim was denied with remittance messages N264 and N575. I submitted the name and NPI of the ordering/referring provider. What is wrong? 09/03/2019
My claim was returned with the message "the procedure code is inconsistent with the modifier used or a required modifier is missing." I submitted two modifiers, and they should both be valid for the procedure code. Why was my claim rejected? 09/03/2019
My remittance notice shows a dollar amount withheld. How to I determine which patient that amount is being withheld for? 09/03/2019
We are receiving a bundling denial even though we submitted a CPT modifier to indicate the service was distinct or independent from the other non-E/M services performed on the same day. Why is the service being denied? 09/03/2019
What actions are being taken to assist providers who do not have a one-to-one match with their PTANs and NPI? 09/03/2019
What are CARCs and RARCs? 09/03/2019
What are the appropriate procedure codes for the first and subsequent AWVs? 09/03/2019
What are the documentation requirements for hospital visits in a teaching facility? 09/03/2019
What are the guidelines for placement of cardiac pacemakers and defibrillators? 09/03/2019
What are the Medicare requirements for shared services? 09/03/2019
What are the ordering and referring edits? 09/03/2019
What does forwarding balance mean on my remittance notice? 09/03/2019
What does it mean to be a participating provider? 09/03/2019
What is the definition of a "new patient" when selecting an E/M CPT code? 09/03/2019
What place of service (POS) do I use when reading a test from a remote location? 09/03/2019
What shall I do if I don't have an enrollment record in Medicare? 09/03/2019
What should I do if I receive two primary payments? 09/03/2019
What specific information can ancillary staff (e.g., RN, LPN, CNA) document during an evaluation and management (E/M) encounter? 09/03/2019
What subsequent hospital visits guidelines/criteria must be met in order for an interval history to be considered problem focused, expanded problem focused or detailed? 09/03/2019
What type of documentation is needed to support an assistant surgeon's claim? 09/03/2019
When a patient is admitted to observation status must the place of service and codes billed by the Part B provider always match what the hospital bills on the UB claim form? 09/03/2019
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