decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Appendix F - Medicare Carriers Manual / 140.1.1_-_Issuance_of_UPINs
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Article Overview
This Medicare Carriers Manual article describes carrier-level processes for verifying certification status, maintaining billing privilege records, and handling employer applications for group billing arrangements involving anesthesia professionals. It also covers documentation options when an applicant is not found on CMS-provided certification lists and the related notice and verification responsibilities of carriers and employers. The article is relevant to compliance staff, billing offices, and organizations that submit claims for these practitioners.
Why This Topic Matters
It helps providers and billing organizations understand the administrative steps involved in establishing and maintaining billing authorization for certain anesthesia professionals, including how carriers confirm eligibility and what documentation may be requested.
What You Will Learn
- How CMS and carriers handle verification of certification status for billing eligibility
- How employer applications for group billing numbers are processed for certified anesthesia professionals
- What documentation may be used when an applicant is not found on a CMS list
- What notice and recordkeeping responsibilities are described for carriers and employers
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle staff
- Compliance professionals
- Hospital administrators
- Ambulatory surgery center staff
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