Wiki New to biling and coding for Medicare HELP

sandyg68

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HELP! We lost a couple of employees and I got handed Medicare and told,dig in and see what you can get done, any tips for someone who hasn't dealt with Medicare before and is fairly new to billing and coding??
 
Become familiar with...

1-Local coverage determinations (LCD/LMRP)

http://www.cms.gov/mcd/results_inde...nt Services (05535) - Carrier&letter_range=4&

2-NCCI edits

http://www.cms.gov/NationalCorrectCodInitEd/01_overview.asp

http://www.cms.gov/NationalCorrectCodInitEd/NCCIEP/list.asp

and as a starter...Chapter 12 of the Medicare Manual

http://www.cms.gov/manuals/downloads/clm104c12.pdf

Medicare can be very overwhelming; especially when trying to navigate through the sites. You also want to become familiar with your local carrier and their particular policies. What state are you located in? It would be good to network with a group of coders/billers within your state. Ask lots of questions when in doubt...
 
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