claims submission

  1. J

    Wiki NJ/NY Providers billing issues (tax ID registered in NJ provider in NY)

    The practice I work for recently brought on a pain management MD who sees patients in NY. we have been having issues with BCBS specifically the out of state plans stating since the MD sees patients outside of NJ it needs to be submitted to the New York local and not our NJ local. Does anyone...
  2. M

    Wiki Documentation requirements for billing remote patient monitoring?

    Hi all, I'm new to reimbursement regarding remote patient monitoring (CPT codes: 99453, 99454, 99457, 00458 and 99091). What documentation from the patient record are payers wanting to be included with claim? TIA
    • Mrsrpc
    • Thread
    • billing claims submission remote patient monitoring supporting documentation
    • Replies: 3
    • Forum: Billing/Reimbursement
  3. S

    Wiki VA requiring SSN to submit claims?

    Has anyone else recently experienced VA claims bouncing back from their clearing house when the patient's SSN is not used as the member ID number (HCFA box 1a)? We were originally advised to put the VA authorization number in this box for claims going to Optum. However, when we submit them this...
  4. L

    Wiki Multiple Claims in 1 Day

    I'm taking over the Compliance portion for a small Dermatology Office. Right now the provider will submit MOHs on one claim, but then submit the biopsy on a different claim that gets signed off a week or more later. And another provider will chart and bill for the closures. This is causing...
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