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Am I a type/specialty that can order or refer items or services for Medicare beneficiaries? 09/03/2019
Am I required to bill with HCPCS modifer JW when reporting waste from a single use drug vial? 09/03/2019
Are chiropractors required to report the ordering/referring provider on claims when billing for an X-ray or other diagnostic radiology service? 09/03/2019
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 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
As a rendering physician, how should I report my NPI on a claim? Do I submit differently if I am a member of a group? 09/03/2019
By the time you received my refund, you had already offset my claim. Why wasn't my refund returned to me? 09/03/2019
Can a nurse practitioner perform the initial hospital visit? 09/03/2019
Can a physician or physician's group bill the modifier to indicate a laboratory test was performed by a reference laboratory? 09/03/2019
Can a provider request immediate offset for voluntary refunds or for solicited overpayments prior to the 40-day interval? 09/03/2019
Can a provider submit a hospital inpatient or office/outpatient evaluation on the same calendar date as a critical service? 09/03/2019
Can a service with the GY HCPCS modifier be appealed? 09/03/2019
Can a single visit be counted as both the IPPE and an AWV? 09/03/2019
Can an ABN (Advance Beneficiary Notice of Noncoverage) be issued for HCPCS code A0427-ALS 1/Emergency Transports? 09/03/2019
Can an evaluation and management (E/M) service be performed as a split/shared service? 09/03/2019
Can an independent laboratory bill both non-referred (i.e., self-reported) and referred services on the same CMS-1500 (02/12) claim form? 09/03/2019
Can an independent laboratory bill both non-referred (i.e., self-reported) and referred services on the same electronic claim? 09/03/2019
Can ancillary staff that provides a service "incident to" a physician or non-physician practitioner sign the documentation? 09/03/2019
Can HCPCS modifier JW be billed for the discarded amount of a drug from a multi-use vial? 09/03/2019
Can I bill for drug wastage from a multi-dose/multiuse vial or package of drug or biological? 09/03/2019
Can I bill Railroad Medicare for administering a Part D vaccine? 09/03/2019
Can I bill you for sending requested documentation for a prepayment or postpayment review? 09/03/2019
Can I call the Reopening line to change the total number of post-operative days I billed? 09/03/2019
Can I call the Telephone Reopening Line to correct a rejected claim? 09/03/2019
Can I print or view remittances online? 09/03/2019
Can I request an immediate offset through eServices for both demanded overpayments and voluntary refunds? 09/03/2019
Can I submit a subsequent nursing facility CPT code if my documentation does not support one of the three levels of initial nursing facility services? 09/03/2019
Can I use an ABN (Advance Beneficiary Notice of Noncoverage) for chiropractic services? 09/03/2019
Can I use the KX HCPCS modifier when filing claims to Railroad Medicare for charges that exceed the therapy cap? 09/03/2019
Can incident to occur in place of service (POS) 19 or 22 (outpatient hospital)? 09/03/2019
Can my billing agency or clearinghouse request my PTAN from Railroad Medicare? 09/03/2019
Can my billing agency or clearinghouse update my provider enrollment record with Railroad Medicare? 09/03/2019
Can other medical services be performed at the same time as an AWV? If so, how are they coded? 09/03/2019
Can Railroad Medicare beneficiaries have coverage through a Medicare Advantage plan? 09/03/2019
Can time alone be used to select an E/M code? 09/03/2019
Can time be used as a basis for E/M code selection in regards to add-on psychotherapy services? 09/03/2019
Can we bill a patient for a service that denied due to MUE? Should we issue an Advance Beneficiary Notice (ABN) to the patient in this case? 09/03/2019
Can we utilize the "status of three or more chronic/inactive conditions" as an extended History of Present Illness (HPI) for the 1995 guidelines? 09/03/2019
Do I have to be enrolled with Railroad Medicare to be able to order or refer services for a Railroad Medicare beneficiary? 09/03/2019
Do I need to notify Railroad Medicare if we add an additional practice location? 09/03/2019
Do I need to notify Railroad Medicare that a provider's address has changed? I have already notified our local Medicare Administrative Contractor (MAC). 09/03/2019
Do I need to notify Railroad Medicare that a provider has left our group? 09/03/2019
Do I need to notify Railroad Medicare that a provider has retired? 09/03/2019
Do I need to obtain preapproval or precertification before I provide a Part B service to a Railroad Medicare patient? 09/03/2019
Do subsequent chiropractic visits need new treatment plans? 09/03/2019
Do you have questions about portal verification films? 09/03/2019
Does a beneficiary need to sign an Advance Beneficiary of Noncoverage (ABN) for every visit? 09/03/2019
Does it matter what position modifiers are submitted on an anesthesia claim? 09/03/2019
Does it matter what position pricing modifiers are submitted on a claim? 09/03/2019
Does Medicare allow providers to bill a patient for a missed appointment? 09/03/2019
Does Medicare reimburse for ambulance transportation to and from a physician's office? 09/03/2019
Does Railroad Medicare cover shingles vaccines? 09/03/2019
Does Railroad Medicare cover TDAP shots? 09/03/2019
Does Railroad Medicare cover tetanus shots? 09/03/2019
Does Railroad Medicare have Local Coverage Determinations (LCDs)? 09/03/2019
Does Railroad Medicare need copies of our provider's/practice's insurance policy? 09/03/2019
Does time need to be documented in order to submit for a hospital or nursing facility discharge service? 09/03/2019
Generally speaking, when we say 'objective measures,' what does that mean? 09/03/2019
How can I check the status of my Appeal request submitted through eServices? 09/03/2019
How can I check the status of my PTAN request? 09/03/2019
How can I determine if an MUE value applies to the date of service or the line of service? 09/03/2019
How can I get a duplicate remittance notice? 09/03/2019
How can I tell if a remittance was paid by paper check or by electronic funds transfer (EFT)? 09/03/2019
How do I access Immediate Offset and electronic payments for Medicare overpayments and voluntary refunds in eServices? 09/03/2019
How do I address Chiropractic treatment goals if I see the patient once and no further treatment is necessary? 09/03/2019
How Do I Find a Form? 09/03/2019
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 09/03/2019
How do I make the text larger to make it easier to read? 09/03/2019
How do I report a provider address change? 09/03/2019
How do I request immediate offset on an established overpayment due to Railroad Medicare? 09/03/2019
How do I submit an Appeal online? 09/03/2019
How do I update my provider information on an existing Railroad Medicare provider number? 09/03/2019
How do I upload attachments to an Appeal request? 09/03/2019
How do I verify the effective date of my electronic fund transfer (EFT)? 09/03/2019
How do you determine if an ambulance transport is considered emergent? 09/03/2019
How does a chiropractor submit a claim for an office visit and X-rays to Medicare for the denial of statutorily excluded services for the patient's secondary insurance company? 09/03/2019
How does the CERT process work? 09/03/2019
How is compliance with the CERT contractor's request for medical records beneficial to providers? 09/03/2019
How is the CERT paid claims error rate determined? 09/03/2019
How long does the CERT contractor have to review the medical records? 09/03/2019
How long will it take Railroad Medicare to issue a PTAN? 09/03/2019
How many units of services should I submit when I am billing a bilateral surgical procedure with CPT modifier 50? 09/03/2019
How often are CARCs and RARCs updated? 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 should time spent with the patient and/or family member doing psychotherapy be documented? 09/03/2019
How should we calculate the time for time-based psychotherapy services for the purposes of submitting claims? 09/03/2019
How will we be notified of the review decision? 09/03/2019
How would I know a Railroad patient is enrolled in a Medicare Advantage plan when they presented their Railroad Medicare Card? 09/03/2019
I'm trying to fax a "Request for Railroad Medicare PTAN for Electronic Submitters" form to (803) 382-2417. Why isn't the fax number in service? 09/03/2019
I am a hospitalist and all records for my services are part of the patient's hospital record. Why do Medicare contractors send me the request for medical records and not the hospital? 09/03/2019
I am an opt-out physician and would like to order and refer services. What do I need to do? 09/03/2019
I billed for a chemotherapy drug with HCPCS code J9999 and it denied. Why? 09/03/2019
I billed multiple patients on one ambulance trip with HCPCS modifier GM, why are my claims still being denied? 09/03/2019
I did not receive the prepayment ADR letter Medical Review sent for my claim. How can I get a copy of the letter? 09/03/2019
I have primary payment for a consultation service. My software does not allow me to change the procedure code to an E/M code that Medicare will accept. Since Medicare no longer accepts consultation codes, can I bill the patient the co-pay from the primary insurance and not submit a claim to Medicare? 09/03/2019
I just received my Part B MAC PTAN. How soon can I request a Railroad Medicare PTAN through the PTAN Lookup and Request Tool? 09/03/2019
I noticed a "multiple procedure" modifier on my remittance advice but I did not submit it. The service was allowed, but should I have included this modifier on my claim? 09/03/2019
I rarely file paper claims and do not want to buy new forms. What are my options? 09/03/2019
I received a letter saying I have to file claims electronically with Railroad Medicare and references 'ASCA'. What does 'ASCA' mean? 09/03/2019
I received a prepayment review letter from Medical Review requesting supporting documentation for a claim. What form should I use when returning the requested information? 09/03/2019
I sent my claim to Railroad Medicare but the IVR and eServices indicate that it is not on file. Should I call and ask a representative to search for the claim? 09/03/2019
I submitted an assigned claim. Why was the payment sent to the patient? 09/03/2019
If a forwarding address notification is submitted to the post office when a provider changes site location, will Medicare remittance advices and/or check payments be forwarded to the new address? 09/03/2019
If a paramedic (not an EMT) is requested for a transport (emergent or non-emergent), but no advanced life support (ALS) procedures are performed is it considered an ALS transport? 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 is being transported to a wound care center located within a hospital or on hospital grounds, which destination modifier would be used when filing the claim? 09/03/2019
If a patient is transported by ambulance to hospice prior to the initial assessment and development of the plan of care, what destination modifier do I use? 09/03/2019
If a patient presents to the office for an injection or venipuncture, would it be acceptable to submit an office or other outpatient visit CPT code? 09/03/2019
If an ambulance is dispatched as a result of a 911 call, arrives at the scene, does an assessment of the patient and it is found there is no need for the transport, would the Advanced Beneficiary Notice (ABN) be used in this case if we intend to bill the patient? 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 document "no edema present" or "Extremities: No edema noted," would "credit" be given for both upper and lower extremities? 09/03/2019
If I provide a statutorily excluded service am I required to have the patient sign an ABN? 09/03/2019
If Medicare determines that my records are not legible, will you treat this as if no documentation is available? 09/03/2019
If my claim is denied for failure to submit requested documentation within 45 days of an Additional Documentation Request (ADR), should I submit a new claim and attach the requested documentation with the new claim? 09/03/2019
If my patient is registered in the emergency department and I am asked to see him/her, may I submit the emergency service? 09/03/2019
If the patient's secondary insurance is requiring a denial from Medicare for services that are statutorily non-covered, how does a chiropractor submit a claim for an office visit and X-rays to Medicare for denial? 09/03/2019
If the physician elects to report the level of service based on counseling and/or coordination of care, does the total length of time of the encounter (face-to-face or floor time, as appropriate) need to be documented? 09/03/2019
If we provide an Evaluation and Management (E/M) Service and a psychotherapy service to a patient on the same day, can we bill and be paid for both services? 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 my notes, I documented pain and muscle spasm in the lumbar region at L2-L3, but my claim denied due to an incomplete P.A.R.T. exam. Can you explain why? 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
In the Table of Risk, under the diagnostic procedures ordered, where would you give credit for collecting a Pap smear? 09/03/2019
Is a chiropractor required to submit claims for non-covered services, such as an office visit, and how do I know if the patient's secondary insurance will consider the service if Medicare does not cover it? 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 an address required in block 32 of the CMS 1500 (02/12) claim form when the place of service code billed is 12 (Home)? 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 document "VSS" (vital signs stable)? How many vital signs must be listed in order to receive "credit" for the 1995 guidelines under "constitutional"? 09/03/2019
Is it acceptable to highlight information in the medical records when responding to a Medical Review Additional Documentation Request (ADR)? 09/03/2019
Is it acceptable to use "noncontributory, unremarkable or negative" when reporting past, family or social history? 09/03/2019
Is Medicare the Primary or Secondary Payer? 09/03/2019
Is the Annual Wellness Visit (AWV) the same as a beneficiary's yearly physical? 09/03/2019
Is the Beneficiary Signature required for emergency ambulance transports? 09/03/2019
Is the hospital responsible for the payment of the transports while the patient is an inpatient? 09/03/2019
Is there a deductible or coinsurance/copayment for the Annual Wellness Visit (AWV)? 09/03/2019
May we fax documentation in response to Additional Documentation Request (ADR) letters? 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 denied due to an MUE, how do I request a review of MUE limits? 09/03/2019
My claim denied for timely filing. When can timely filing be waived? 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 rejected with a remittance message code MA83, saying: "Did not indicate whether we are the primary or the secondary payer?" What does this mean? 09/03/2019
My claim rejected with remittance message MA116 - Did not complete the statement 'Homebound' on the claim to validate whether laboratory services were performed at home or in an institution. Where do I put "Homebound" on a claim? 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 claims are denying because Medicare records show another insurance should be paying as primary to Medicare. The patient has recently retired and says the insurance has ended. Who can I call to get the patient's Medicare record updated? 09/03/2019
My electronic claim was rejected with remittance message N265? What information was missing? 09/03/2019
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