Anthem has notified doctors and other providers that the timely filing window for professional claims is being shortened to 90 days. “Effective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct. 1, 2019, …
Date of Service Reporting for Radiology Services March 12, 2019 Providers need to ensure that they are reporting radiology dates of service the way the payer has requested. Unlike many other professional services which only have one date of service …
Question: Our surgeon recently performed excision of infected bone in the mandibular arch caused due to an infected tooth. He also performed the extraction of the affected tooth. Since I am planning to report the excision to the patient’s medical …
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 …
This form is used to evaluate the conditions that may or may not qualify patients for coverage of medically necessary orthodontic services. Medically Necessary Orthodontia related to the Pediatric Dental Essential Benefit in the Affordable Care Act (ACA): Comprehensive medically …