Medical Billing

Each year the Medicare Part B premium, deductible, and coinsurance rates are determined according to the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $170.10 for 2022, an increase of $21.60 from $148.50 in 2021. The annual deductible for all Medicare Part B beneficiaries is $233 in 2022, an increase of $30 from the annual deductible of $203 in 2021.

  Codes of place of service Place of service (POS) codes Place of service (POS)  11 Office visit 12 Home 21 Inpatient 22 Outpatient 23 Emergency 24 Ambulatory 31 Skilled nursing staff 34 hospice

  COBRA (Consolidated Omnibus Budget Reconciliation Act) COBRA is an act was introduced in year 1985 by US congress on reconciliation basis signed by President Ronald Reagan according to this act the employee have the ability to continue with health insurance coverage after leaving the employment for certain period of time until he gets the next employment. Reconciliation means renewal.

https://revcycleintelligence-com.cdn.ampproject.org/c/s/revcycleintelligence.com/news/amp/cms-releases-final-rule-for-cy-2022-medicare-physician-fee-schedule

MODIFIER 95: Modifier 95 is a fairly new modifier and used only when billing to private payers to indicate services were rendered via synchronous telecommunication. It is important to note that Medicare and Medicaid do not recognize modifier 95. As with the GT modifier, not all payers recognize modifier 95. The rules engine is a good resource when it comes to selecting a modifier for your claim.