Medicare billing

Medicare is the Major insurance in Medical billing hence billing to Medicare is very important than any one.
Hence we have decided to write exclusive for Medicare billing. In this section we will have discuss the rules for Medicare billing.

We keep on updating this post whenever we come across the new rule.

Medicare billing Rules

1. All the Lab test codes has to be submitted with CLIA number. This number must for the CPTs which are categorized under "CLIA waived".
2. Some clinical laboratory tests must also be submitted with HCPCS modifier QW.
Please note that not all CLIA-waived tests require HCPCS modifier QW.
CLIA-waived procedures that do not require HCPCS modifier QW include:

CPT codes: 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, 85651
3. All consult visit need to be billed with referring provider. Its for all the insurances.
4. For administration of injection we need to use G codes instead of regular codes. For example we need to use G0008 instead of CPT 90471.

We will keep on updating this section whenever we got the rule. Also i asked our visitors to comment the new rule here to benefit of everyone.

1 comment:

Anonymous said...

Yes I agree . Medicare billing is more important.

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