Billing | Compliance Tips and Tactics | Informative | Insurance | Medical

Trying to Bill TMD to Medical and not recieving payment. Below look for your state law!

TM TREATMENT AND THIRD PARTY INSURANCE COVERAGE Minnesota, in 1987, became the first state to adopt legislation requiring health insurance policies issued within the state to include coverage for the…

Anthem Has Changed Filing Time for filling claims/ Another reason to attend the Las Vegas Meeting
Announcements | Billing | Business | CBCT Scans | Compliance Tips and Tactics | Informative | Insurance | Medical | News

Anthem Has Changed Filing Time for filling claims/ Another reason to attend the Las Vegas Meeting

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…

Advice | Billing | Business | Compliance Tips and Tactics | Informative | Insurance

What do I do When a Medicare Patient Refuses to Sign an ABN?

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…

Advice | Billing | Compliance Tips and Tactics | Informative | Insurance | Medical

Dental Treatment Note Checklist Must Haves

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…

Billing Consultations
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Billing Consultations

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…

Are you using a form to prove evidence of delivery
Billing | Compliance Tips and Tactics | Informative | Insurance | Medical

Are you using a form to prove evidence of delivery

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…

Billing | Compliance Tips and Tactics | Insurance | Medical

Physical Status Modifier (For Anesthesia)

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….

Advice | Billing | Compliance Tips and Tactics

Why Federal Truth in Lending is important

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…