Proof of Delivery 42 CFR 424.57(c)(12) requires suppliers to maintain proof of delivery (POD) documentation in their files. POD documentation, as well as claims documentation, must be maintained in the supplier’s files for 7 years (starting from the DOS). Suppliers, …
Modifiers are valuable coding tools that explain to payers the specific work that was done by a physician during treatment of a patient. They’re important for representing the medical decision-making (MDM) a physician must demonstrate in order to bill, and …
Note on Documentation Requirements: Establishment of medical necessity of pediatric orthodontics requires documentation to support the severe handicapping malocclusion and the presence of a qualifying medical condition, and a score of 42 points or greater on the Modified Salzmann Index. …
The Centers for Medicare & Medicaid Services has launched a new “What’s Covered” app that allows Original Medicare enrollees and caregivers using mobile devices to determine coverage for specific medical items or services. “eMedicare is one of several initiatives focused …
Using Modifier 59 CPT Manual defines modifier 59 as a “Distinct Procedural Service.” The 59 modifier is considered the most misused modifier by coders. It is normally used to indicate that two or more procedures were performed during the same visit …
From our Friends at FindaCode Question: We have been receiving several DDS referrals to our massage therapists who do intra-oral work. The only problem is that the referral from the DDS lists code R51 for headaches as the only DX …
Dominion National to Cover Non-Opioid Treatment Alternative to Control Dental Pain by Dominion National | Nov 12, 2018 Arlington, Va. – Dominion National, a leading dental insurer and administrator of dental and vision benefits headquartered in Arlington, Va., announced a …
Dental vs. medical insurance: Where do the two diverge? Written by Mackenzie Garrity | May 29, 2018 Our industry is moving into more medical billing, just by the fact that dental has not increased their benefits and many services are …
http://https://youtu.be/dh224eypn48 There are solutions to help you set up Medical Billing in order for them to know who you are. You are also able to do credentialing with them. Great Powerpoint
Many offices are not using the modifier to tell the insurance company the health of the patient. If you are not receiving payment use the correct modifier for each patient. PHYSICAL STATUS MODIFIER (FOR ANESTHESIA Anesthesia procedures have their own …