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, …
Question: What do I do when a Medicare patient refuses to sign an ABN? Answer: That depends on whether the patient is still demanding to have/receive the service/supply. If they aren’t demanding the service, then there is no need to …
April is Oral Cancer Awareness Month. Oral cancer kills one American every hour because is it usually detected in late stages (III & IV). Early detection is key! Click here or on the image above to download and share this …
When teaching at NYU Dental students wrote small books for notes, directly after joining the world of dentistry in a practice they started to use text messages as Dr. Studley would say!!! Are you writing a text message that leaves …
A consultation, as defined by the CPT manual, is a evaluation and management service provided at the request of another physician or appropriate source to either recommend care for a specific condition or problem, or to determine whether to accept …
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, …
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 …
Federal Truth-in-Lending Act All policies and procedures used in collection must conform with both federal and state law, and any applicable ethical obligations. At the federal level, physicians who want to extend credit regularly or charge interest may be subject …