Part B Insider (Multispecialty) Coding Alert
In other news
You may have a few less days to make the switch to the 5010 claims format than you thought. CMS's extension of 5010 enforcement ends June 30. But because that day is a Saturday, June 29 is actually the last day you can submit 4010-format claims, CMS explains in a message to providers. "All claims received after normal close of business cutoff times on June 29, 2012 must be sent as ASC X12 version 5010 or NCPDP D.0," CMS instructs. "Any Medicare FFS claims received in version 4010 format after normal close of business on June 29 will be rejected back to the submitter." Don't forget that remittance advices need to be transitioned as well. You may have switched your claim files and forgotten your remits, warns MAC CGS Medicare in a message to providers. "Your MAC cannot move your remits to 5010 unless you instruct them to do so," CGS emphasizes. A breather:
Part B Insider (Multispecialty) Coding Alert
- Billing:
Performing Non-Payable Services for Private Insurers? Consider This ABN-Style Waiver
Avoid reimbursement leaks by having patients sign this contract.Most Part B practices know that they [...] - Collections:
Follow 3 Steps to Achieve Copay Waiver Compliance
Make sure you document financial hardship when applicable.Most practices have heard the mantra so often [...] - Clip and Save:
This Patient Responsibility Form Can Make Your Life Easier
For non-Medicare patients, use this form as a springboard to creating your own custom document.If [...] - Physician Note:
AMA 'Evaluating ICD-11' As ICD-9 Alternative
Plus: Keep Weekend in Mind for 5010 Transition. The American Medical Association (AMA) has made [...] - In other news
You may have a few less days to make the switch to the 5010 claims [...] - Reader Question:
Know When You Can Write Off Employee Copays
Question: My physicians are looking at giving employees a courtesy for their co-pays but want [...] - Reader Question:
Select Critical Care Codes Based on Service, Not Location
Question: After a patient with chest pain "coded" in the ER and was admitted to [...] - Reader Question:
Don't Bill No-Show Fee on Behalf of Others
Question: Can a physician who refers a patient to another physician (specialist) charge his patient [...] - Reader Question:
State Laws Dictate Collections Rules
Question: I work in a physician's office handling the collection of past due copays, deductibles, [...] - Reader Question:
Secondary Insurance Deductibles: Don't Do Automatic Writeoffs
Question:We have many patients with secondary insurance, some of which have deductibles on the secondary. [...]
