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Showing posts from January, 2014

CPT 90661 or 90688 incorrect denial

As a Medical billing team member or Physician office you might have worried for a incorrect denial received from Medicare for CPT 90661 or 90688, but here is a happy news for you all. CPT 90661 or 90688 was denied incorrectly as FDA (Federal Food and Drug Administration) approval or Performed by a Centralized biller. Both 90661 and 90688 received approval from FDA approval with effective date as November 20, 2012 and August 16, 2013 respectively, now due to delay in receipt of this information claims are denied incorrectly. With denial reason 114 FDA not approved and 170 performed by this provider. According to NOVITAS – As of January 13 th 2014 FDA approval and Centralized biller details has been updated in their system, hence no action required from provider since A mass adjustment project is being initiated to automatically adjust claims that may have denied in error. For any Medical Billing  or Medical billing updates please visit us.

Dental Coverage under your Tricare plan

Below are Tricare Dental coverage and it offers comprehensive dental coverage’s. ·          Diagnostic and preventive services (exams, cleanings, fluorides, sealants, and X-rays) ·          Basic restorative services (fillings, including tooth-colored [white] fillings on back teeth). ·          Endodontics (root canals) ·          Periodontics (gum surgery) ·          Oral surgery (tooth extractions) ·          Prosthodontics (crowns, dentures) ·          Orthodontics (braces) o     Note: There are some age limitations to orthodontic coverage. ·          Scaling and root planing (deep cleaning) for diabetics at no cost ·          Additional 3 rd cleaning for women during pregnancy TRICARE Dental program provides coverage worldwide & managed with two services area CONUS Services area includes following places. United States TRICAREDental Program comes under on CONUS Services area, District of ColumbiaTRICARE Dental program comes under o

What are all the changes in New HCFA 1500 from older version?

Below are the list changes from old version 08/05 HCFA 1500 to New Version 02/12 HCFA form. Location Change Header Replaced 1500 rectangular symbol with black and white two-dimensional QR Code (Quick Response Code). Header Added "(NUCC)" after "APPROVED BY NATIONAL UNIFORM CLAIM COMMITTEE." Header Replaced "08/05" with "02/12." Item Number 1 Changed "TRICARE CHAMPUS" to "TRICARE" and changed "(Sponsor’s SSN)" to "(ID#/DoD#)." Item Number 1 Changed "(SSN or ID)" to "(ID#) under "GROUP HEALTH PLAN." Item Number 1 Changed "(SSN)" to "(ID#)" under "FECA BLK LUNG." Item Number 1 Changed "(ID)" to "(ID#)" under "OTHER." Item Number 8 Deleted "PATIENT STATUS" and content of field. Changed title to "RESERVED FOR NUCC USE." Item Number 9b Deleted "OTHER I

New HCFA 1500 Claim form – New Version 02/12

The version 02/12 1500 health Insurance Claim form has received final approval from CMS (Centers for Medicare & Medicaid Services) New 1500 claim form (New Version 02/12) is revised form accommodates reporting needs for ICD-10 and aligns with requirement in the Accredited Standards Committee X12 (ASC X12). What is the deadline for New 1500 Claim form – New Version 02/12 The Centers for Medicare & Medicaid Services (CMS) announced in the CMS Medicare Learning Network on June 27, 2013 that their tentative timeline for implementing the 02/12 1500 claim form is as follows: January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12). January 6 through March 31, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05). April 1, 2014: Medicare receives and processes paper claims su

What is CPT 51784?

Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique. Electromyography: Provocative maneuvers produced appropriate changes in waveforms. The EMG shows increased EMG activity with increased intra-abdominal pressure. There was a decrease in the EMG activity during voiding consistent with normal function of the pelvic floor.

Medical billing & Coding Salary in India

Medical billing & Coding is the back end process working on behalf of US hospital or clinic Doctor’s. In India there are N Number of companies providing Medical billing & Coding  jobs. Especially cities like Chennai,Bangalore , Mumbai, Kolkata, Coimbatore etc., especially in Chennai there are many companies providing Medical billing & Coding Jobs . For a fresher the Salary starts from 8000 – 12000 rupees monthly, if you are an experience person Salary will be around 20,000 – 35,000 rupees. Again this is only a general information, salary for Medical billing & Coding will differ from company to company.

USPS increased its prices – 2014

Your secondary paper claim, your WC claims and most importantly your patient statements cost will increase in 2014, because USPS increased its price which is effective from January 2014. According to USPS.com Highlights of the new single-piece First-Class Mail pricing, effective Jan. 26, 2014 include: ·          Letters (1 oz.) — 3-cent increase to 49 cents ·          Letters additional ounces — 1-cent increase to 21 cents ·          Letters to all international destinations (1 oz.) — $1.15 ·          Postcards — 1-cent increase to 34 cents Even if your doctor office outsources these services to other agencies they will charge you more based on the increase in price from USPS, And USPS expecting to generate $2 million in new revenue to improve financial solutions. For Medical billing Updates  or Medical billing related questions please visit us