Group items tagged

Do you know the Code for Specialty Care Transport (SCT)? #HCPCS code #A0434 for Specialty Care Transport (SCT) which is managed by the #CMS is part of the umbrella of #Ambulance as well as Other Transport Services and Supplies. SCT is the hospital-to-hospital transport of an injured or sick patient by ground ambulance. To learn more about Specialty transport for care, get in touch with us at: https://medmaxtechnologies.com/contact-us/ Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.

Strategies for risk-based payments 2022 HealthCare systems are currently contemplating advancing their risk-based payment methods by taking on greater risk, professional capitation or global capitation, in Medicare Advantage business lines in 2022. For more information on payment options, contact us at: https://medmaxtechnologies.com/contact-us/ Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761

6 Eyecare Billing Rejections you can overcome Medical billing rejections and denials are often used interchangeably - however, there is a distinct difference. A rejected medical claim fails to meet specific formatting, billing criteria, and data requirements. Because a rejected claim has never been processed by a clearinghouse, insurance payer, or the Centers for Medicare & Medicaid Services (CMS), the claim is not considered "received," and it did not make it through the adjudication system. The reasons behind the Eyecare Billing rejections have been listed down below: 1. Mission or invalid information 2. Same-Day or Duplicate 3. Code or Modifier Missing or Invalid 4. Patient not Eligible 5. Missing or Invalid Billing Provider ID 6. Provider not Credentialed by Payer Are you also facing these issues in your Ophthalmology Practice? Contact us : info@medmaxtechnologies.com / 888-402-2631.

Do you know the cost of reworking on an Ophthalmology Denied/Rejected Claim? According to the Medical Group Management Association (MGMA), the average cost of reworking a rejected or denied claim is $25. If you take the 46 claims, the optometry practice received last month. Then, multiply it by $25 each, and it equals $1150 that the practice spent fixing errors and resubmitting the claims.

Providers must Perform Internal Assessment to Fix Claim Submission Process The process of conducting an internal assessment can take some months, depending on the size of the practice. The post-assessment process can help create a plan to monitor and improve the management of revenue cycles. Connect with our RCM experts: https://medmaxtechnologies.com/contact-us/ Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.

What is the CPT code for Hypnotherapy? CPT has a code to use for "Hypnotherapy," 90880. It is a medical procedure code in the range of - Other Psychiatric Procedures or Services. Medicare will look into the use of #Hypnotherapy when it is reasonable and essential in treating medical or #psychological illnesses. Connect with our Medical Coding Experts: https://medmaxtechnologies.com/contact-us/ Toll Free: +1-888-402-2631

What is the No surprise Act 2022? Effective January 1st, 2022, the Federal No Surprises Act introduced new regulations for healthcare facilities, providers, and air ambulance services to safeguard patients against "surprise" medical bills. To learn more, Get in touch with us: info@medmaxtechnologies.com Toll-Free: +1-888-402-2631

What is GA Modifier? The #modifier signifies that an #ABN is in the file and permits the #provider to invoice the patient even if the patient is they are not covered under #Medicare. It is the GA Modifier is added on the claim with an appropriately executed advanced Beneficiary Notice (ABN) within the file. For more information regarding GA Modifier, Connect with us at: https://medmaxtechnologies.com/contact-us/ Contact us via email: info@medmaxtechnologies.com Toll-Free: +1-888-402-2631

What is a DRG code in the field of Healthcare? Prospective rates of payment determined by Diagnosis Related Groups (DRGs) are the foundation of healthcare reimbursement by Medicare. The DRGs constitute a classification system that provides an opportunity to connect the kind of patients that a hospital can treat (i.e., its mixture of patients) to the expenses paid by the hospital. To get more information about DRG code, Get in touch with us: https://lnkd.in/eyE2QEK Please email us: info@medmaxtechnologies.com or call us: +1-586-436-3761.

Five Best Tactics to Reduce Claim Denials You will quickly realize that the majority of claims denials can be avoided. Therefore, in this article, we've reviewed 5 top tactics to decrease claims denials. You'll be shocked to find out that nearly two-thirds of all rejected claims can be resubmitted, and only 35% are submitted again. Here are those tactics which will prevent you from claim's rejection: 1. Keep track of all our claims 2. Find common reasons for claim denial 3. Track your denial rate 4. Make sure you are constantly training your employees 5. Verify the insurance coverage prior to each visit To learn more, approach us through Email: info@medmaxtechnologies.com or Call at: 888-402-2631.

What is an A/B MAC (B)? A/B Mac (B) refers to #contractors that process #claims for ambulance suppliers billed on the #ASC X12 837professional claim transaction or a CMS-1500 form. To get more information, Connect with us: https://medmaxtechnologies.com/contact-us/ Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.

Medicare Requirements for Telemedicine Services #Medicare covers certain #telemedicine services performed by PAs, physicians, and certain other #healthcare professionals using real-time audio-visual #communication, such as #consultations, office visits, individual #psychotherapy and #pharmacologic management. To get more information, Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.

Correctly choose between Eye Codes and E/M Codes Unlike other specialties, #ophthalmologists have two sets of codes to choose from for #ophthalmology billing. Check your diagnosis code(s), eye codes are more restrictive as to what diagnosis meets medical necessity, and the specific codes can vary by payer. E/M codes do not share those same restrictions. Use E/M codes for visits that have a medical element. If the exam is strictly visual and contains no medical elements, an eye code is the right choice. To know more about Eye Codes and E/M Codes, Get in touch with us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.

Telemedicine v/s Virtual Care #Telemedicine refers specifically to the treatment of various medical conditions without seeing the patient in person but #VirtualCare is a broad term that encompasses all the ways healthcare providers remotely interact with their patients. Telemedicine may include giving medical advice, walking them through at-home exercises, or recommending them to a local provider or facility but Virtual Care include checking in after an in-person visit, monitoring vitals after surgery, or responding to any questions about their diagnosis, condition or treatment plan. Incase of any query related Telemedicine or Virtual care, click at: https://medmaxtechnologies.com/contact-us/ To learn more, Email at info@medmaxtechnologies.com or Call at +1-586-436-3761.

Do you know whether you should include or exclude a visit from the global ob package (59400-59622)? The patient presents for her annual exam. The ob-gyn orders a pregnancy test because he suspects pregnancy. You should count this visit as outside the global ob package. The ob-gyn is not monitoring the pregnancy during the visit. Your claim should look like this: 1. The annual exam (99384-99386 for new patients, or 99394-99396 for established patients) linked to either Z01.411 (Encounter for gynecological examination [general] [routine] with abnormal findings) or Z01.419 (Encounter for gynecological examination [general] [routine] without abnormal findings). 2. The diagnostic test (for instance, 81025, Urine pregnancy test, by visual color comparison methods) linked to Z32.01 (Encounter for pregnancy test, result positive). To reach #MedicalBillingExpert, click at: https://medmaxtechnologies.com/contact-us/ For more information, Email at info@medmaxtechnologies.com or Call at +1-586-436-3761.

Q8 Modifier The HCPCS Modifier Q8 uses it to reveal two class B results concerning routine foot treatment. The majority of the time, Medicare does not cover regular foot care. However, under certain conditions, routine services are covered if they are medically required. To know more about the Q8 modifier, Connect with us: https://medmaxtechnologies.com/contact-us/ Email us: info@medmaxtechnologies.com or Call us: +1-586-436-3761.