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Deductible and Coinsurance Write-off Amounts for Qualified Medicare Beneficiaries (QMB) 06/30/2020
Can incident to occur in place of service (POS) 19 or 22 (outpatient hospital)? 06/26/2020
Can time alone be used to select an E/M code? 06/26/2020
Does time need to be documented in order to submit for a hospital or nursing facility discharge service? 06/26/2020
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? 06/26/2020
If another provider admits a patient into Observation Care and I provide a consult, can I bill the observation care code? 06/26/2020
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? 06/26/2020
Is Coumadin or Heparin considered a "drug requiring intensive monitoring for toxicity" under the Table of Risk? 06/26/2020
Is it acceptable to use "noncontributory, unremarkable or negative" when reporting past, family or social history? 06/26/2020
What specific information can ancillary staff (e.g., RN, LPN, CNA) document during an evaluation and management (E/M) encounter? 06/26/2020
When the history of present illness (HPI), review of systems (ROS) and past/family/social history (PFSH) are unobtainable, does a physician have to document the reason why, or can it be inferred by other documentation within the HPI (e.g., patient had severe dementia)? 06/26/2020
When using the 1995 E/M guidelines, can you add body areas and organ systems together to determine the appropriate level for the examination component? 06/26/2020
Why was my office visit denied when billed on the same surgery date of service? 06/26/2020
After I receive a 277CA will I receive anything else? 06/09/2020
How can I tell if I am set up for Electronic Billing? 06/09/2020
How do I restore a remit file? 06/09/2020
Is the 277CA returned for each test submission? 06/09/2020
PC-ACE Pro32 software FAQs 06/09/2020
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 06/09/2020
What is a Network Service Vendor? 06/09/2020
What is an approved software vendor? 06/09/2020
What provider address should I include on the EDI enrollment forms? 06/09/2020
What provider name should I include on the EDI enrollment forms? 06/09/2020
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 06/09/2020
What Submitter Name should I enter on the Provider Authorization form? 06/09/2020
When is a provider authorization form required? 06/09/2020
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 06/09/2020
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? 06/09/2020
Am I a type/specialty that can order or refer items or services for Medicare beneficiaries? 06/02/2020
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 06/02/2020
Are observation codes submitted by the hour or by the calendar date? 06/02/2020
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically? 06/02/2020
Are Your Medicare Secondary Payer (MSP) Claims Rejecting? 06/02/2020
Can a clinical pharmacist (Pharm D) perform an Annual Wellness Visit (AWV)? 06/02/2020
Can a nurse practitioner perform the initial hospital visit? 06/02/2020
Can a provider submit charges for evaluation and management 'Level 4' office visit and prolonged care if the reason for the prolonged care was based on the patient requiring an interpreter? 06/02/2020
Can a service be billed as 'incident to' if the auxiliary staff performing the service, where there is no face-to-face encounter with the billing provider, changes a patient's treatment plan based on protocol or the results of laboratory tests? 06/02/2020
Can I call the Telephone Reopening Line to correct claims that were rejected as unprocessable? 06/02/2020
Can providers of the same specialty/same group bill for critical care add on codes on the same date of service? 06/02/2020
Do I need to complete a new provider enrollment form if I am making a change to my credentialing information? 06/02/2020
Do you have a coding question? 06/02/2020
Does a beneficiary need to sign an Advance Beneficiary of Noncoverage (ABN) for every visit? 06/02/2020
How can I determine what codes/procedures are bundled with a certain code in the CCI edits? 06/02/2020
How can Medicare Advantage plans (HMOs) affect your practice? 06/02/2020
How do I determine an independent diagnostic testing facility (IDTF)? 06/02/2020
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 06/02/2020
How do I upload attachments to an Appeal request? 06/02/2020
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? 06/02/2020
If I provide a statutorily excluded service am I required to have the patient sign an ABN? 06/02/2020
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? 06/02/2020
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