Medicare Timely Filing Exceptions
The Medicare regulations at 42 Code of Federal Regulations (CFR), Section 424.44, specify the time limits for filing Part A...
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Incomplete or Invalid Claims Processing Terminology
These requirements apply to Part B assigned and unassigned claims (Form CMS-1500) or electronic data interchange equivalent. Unprocessable Claim – Any...
BCBS Florida After Hours & Weekend Care Payment Policy
The following article is for BCBS Florida after hours & weekend care Payment Policy, including CPT code 99050, CPT 99051,...
Medicare Non-covered ICD-9-CM Codes
Medicare will not cover the below listed ICD 9 codes at any circumstances when reported with the Laboratory procedures. If...
Face-to-Face Requirements for Home Health Services
For episodes with starts of care beginning January 1, 2011 and later, prior to initially certifying the home health patient’s...
INSTRUCTIONS TO PATIENT FOR COLLECTION OF SEMEN SPECIMEN
1. Collection of semen should follow a period of abstinence from sexual intercourse or ejaculatory activity for a period of...
Reporting Biopsy With Fine Needle Aspiration (CPT 10021, 10022)
Fine needle aspiration (FNA) (CPT codes 10021, 10022 CPT) should not be reported with another biopsy procedure code for the...
Reporting Diagnostic Endoscopy With Laparoscopic & Surgical Endoscopy
Reporting Diagnostic Endoscopy and Laparoscopy on the same day If a diagnostic scout endoscopy leads to the performance of a...
CPT Codes 78481 – 78496 (2021 Updates)
Cardiac blood pool imaging also known as Radionuclide ventriculography is one of the most widely used techniques for evaluating ventricular...
Under Medicare Part B, physicians and suppliers submit both assigned and non-assigned claims for these services and items. For assigned...
An anaerobic bacteria culture is a method used to grow anaerobes from a clinical specimen. Obligate anaerobes are bacteria that...
New Code to Report Date of Death
The NUBC (National Uniform Billing Committee) approved a new occurrence code to report date of death with an effective/ implementation...