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Drugs and Biologicals Pub-100 Ch 17
Drugs and Biologicals Pub-100 Ch 17
Billing Requirements for OPPS
Billing Requirements for OPPS Providers with Multiple Service Locations
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March 16th, 2021
ICD-10-CM 2021 Codes for your Specialty
Published March 16th, 2021|
14. Diseases of the genitourinary system (N00-N99) Code: Description:N00.A Acute nephritic syndrome with C3 glomerulonephritisN01.A Rapidly progressive nephritic syndrome with C3 glomerulonephritisN02.A Recurrent and persistent hematuria with C3 glomerulonephritisN03.A ...
October 28th, 2020
Published October 28th, 2020|
Just about any large clinic you visit will have non-physician practitioners, or NPPs. These will include physician assistants, nurse practitioners, and clinical nurses for example. Practices and clinics can bill under the NPPs if they are credentialed with the payer, but the reimbursement is only 85% of the fee schedule. There ...
August 10th, 2020
Modifier 50 — Four "Must Know" Tips For Getting Paid
Published August 10th, 2020|
Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional...
July 14th, 2020
Are NCCI Edits and Modifiers Just for Medicare?
Published July 14th, 2020|
The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...
February 10th, 2020
A 2020 Radiology Coding Change You Need To Know
Published February 10th, 2020|
The radiology section of the 2020 CPT© has 1 new, 18 revised, and 14 deleted codes. Interestingly, six of the 14 deleted codes were specific to reporting single-photon computerized tomographic (SPECT) imaging services of the brain, heart, liver, bladder, and others. If your organization reports radiology services, it is...
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Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCMS-Novitas Solutions: Specialty Exam: Genitourinary (Female)CMS-Novitas Solutions: Specialty Exam: Genitourinary (Male)Commonly Used Medicare Modifiers - GA, GX, GY, GZMedicare Part B Clinical Laboratory Fee ScheduleNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS
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