Part B Insider (Multispecialty) Coding Alert

Think you have a handle on the barrage of billing rules for workers’ comp, motor vehicle, and skilled nursing facility claims? Measure your billing prowess against the experts’ with this quick quiz. 

Work to Master Workers’ Compensation

1. For patients with workers’ compensation, should you bill according to the workers’ comp fee schedule? And does this mean you should code these claims any differently than others?

2. When a patient calls to schedule his first appointment for an injury that could have been on the job, what should the front-desk staff do to facilitate the billing?

3. If a patient’s injury occurred in a state other than yours, which state’s rules have jurisdiction over the workers’ comp billing?

4. Should you schedule a patient for a workers’ comp visit and treatment of other unrelated problems during the same visit on the same day? 

Confirm Your SNF and Consolidated Billing Skills

5. How can you ensure a skilled nursing facility (SNF) will pay you in a timely fashion, rather than promising you payment when and if it receives reimbursement from Medicare?

6. Can you charge SNFs an extra fee to account for the physician’s driving time or gas costs?

7. As a last resort, with whom can you file a complaint about a troublesome SNF?

Steer Safely Through MVA Claims

8. What are the two things a receptionist should ask when a patient calls to schedule an MVA-related appointment?

9. What should you do when you first schedule a motor vehicle accident (MVA) patient to prevent denials later on?

10. Why should you always make a copy of the MVA patient’s health insurance card?

11. Which boxes on the CMS-1500 form should you take care to fill out for an MVA claim?