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After I receive a 277CA will I receive anything else? 09/19/2019
How can I tell if I am set up for Electronic Billing? 09/19/2019
How do I restore a remit file? 09/19/2019
Is the 277CA returned for each test submission? 09/19/2019
PC-ACE Pro32 software FAQs 09/19/2019
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 09/19/2019
What is a Network Service Vendor? 09/19/2019
What is an approved software vendor? 09/19/2019
What provider address should I include on the EDI enrollment forms? 09/19/2019
What provider name should I include on the EDI enrollment forms? 09/19/2019
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 09/19/2019
What Submitter Name should I enter on the Provider Authorization form? 09/19/2019
When is a provider authorization form required? 09/19/2019
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 09/19/2019
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? 09/19/2019
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)? 09/03/2019
Am I a type/specialty that can order or refer items or services for Medicare beneficiaries? 09/03/2019
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 09/03/2019
Are consultation codes deleted for Medicare Advantage plans as well as Medicare fee-for-service? 09/03/2019
Are observation codes submitted by the hour or by the calendar date? 09/03/2019
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically? 09/03/2019
Are Your Medicare Secondary Payer (MSP) Claims Rejecting? 09/03/2019
Can a clinical pharmacist (Pharm D) perform an Annual Wellness Visit (AWV)? 09/03/2019
Can a nurse practitioner perform the initial hospital visit? 09/03/2019
Can a provider bill Medicare for missed appointments and receive reimbursement? 09/03/2019
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? 09/03/2019
Can a provider submit critical care services and a procedure on the same calendar date? Can you add the time spent performing these separately billable services towards the critical care time? 09/03/2019
Can a psychologist order basic lab tests? 09/03/2019
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? 09/03/2019
Can clarification be provided regarding the statement found in the MLN Matters Number: SE1010 Revised, page 8, "The split/shared rules applying to E/M services remain in effect, including those cases where services would previously have been reported by CPT consultation codes?" 09/03/2019
Can incident to occur in place of service (POS) 19 or 22 (outpatient hospital)? 09/03/2019
Can time alone be used to select an E/M code? 09/03/2019
Does a beneficiary need to sign an Advance Beneficiary of Noncoverage (ABN) for every visit? 09/03/2019
Does time need to be documented in order to submit for a hospital or nursing facility discharge service? 09/03/2019
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 09/03/2019
How do I upload attachments to an Appeal request? 09/03/2019
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? 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 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 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
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
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