CMS Resources Website
Versions 5010 and D.0
This website contains background, regulatory, educational, and implementation information.
Versions 5010 and D.0
This website contains background, regulatory, educational, and implementation information.
http://www.cms.gov/Versions5010andD0
Medicare Fee-for-Service (FFS) 5010 – D.0
Health Insurance Portability and Accountability Act (HIPAA) EDI standards, comparisons, and the Medicare
FFS Companion Guide (coming soon) are available on this website.
http://www.cms.gov/MFFS5010D0
Transaction and Code Sets Standards
Electronic transaction and code sets standards and information can be downloaded from this website.
http://www.cms.gov/TransactionCodeSetsStands
Electronic Billing & EDI Transactions Help Lines
Part A and B EDI Help lines are available on this website.
http://www.cms.gov/ElectronicBillingEDITrans
HIPAA Eligibility Transaction System (HETS) Help (270/271)
The HETS Help website is available to provide technical system support to CMS business partners
http://www.cms.gov/HETSHelp
The Accredited Standards Committee (ASC)
An online website for ASC X12 Implementation Guides and resources.
http://www.x12.org/
ASC X12 Interpretations Portal
This portal provides access to information about existing versions of ASC X12N Implementation Guides and
ASC X12 Technical Report Type 3 (TR3)
http://www.x12n.org/portal
Learn Medical Billing Process, Tips to best AR Specialist. Medical Insurance Billing codes, Denial, procedure code and ICD 10, coverage guidelines. Demographic, charge, payment entry, AR process and eligibility and follow up. How to Guide.
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- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
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Medical Billing Popular Articles
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CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age...
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CPT Code and description 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age an...
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Procedure code and Description 99251 Inpatient consultation for a new or established patient, which requires these 3 key components: A pro...
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93000-93010: Hone Your ECG Coding Skills With 3 Essential Pointers Whether you call them ECGs or EKGs, chances are you see a lot of elec...
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Billed amount: It is the Amount charged for each service performed by the provider. In other words it is the total charge value of the cla...
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When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R...
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Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indic...
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Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...

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