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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- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
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Q: What steps can be taken to identify claims that overlap with another provider?
A: If you receive an overlap reason code, you can do one of the following:
• Verify your claims submitted through direct data entry (DDE) pdf file
• Option -1 (inquiry menu), then option -12 (claims summary), and key in the beneficiary’s health insurance claim (HIC) number, your provider number, and press enter
• Review the list of claims submitted to identify those with identical dates of service, and validate they were submitted accurately
• Verify eligibility for home health episodes and hospice election from the ELGA and/or ELGH screens
• Verify the beneficiary/eligibility tab submenu on the secure provider online tool (SPOT)
• Home health episode start and end date, and the servicing provider’s NPI
• Hospice election effective and termination date, revocation code and the servicing provider’s NPI
• Click here to learn more about the SPOT
• NPI registry lookup external link enables you to search for the provider’s information
• Verify additional eligibility information from the submenu on the interactive voice response (IVR)
• Hospice effective and termination dates (if applicable), and the servicing provider’s ID
• Home health effective and termination dates (if applicable), and the servicing provider’s ID
• Skilled nursing facility (SNF) effective and termination dates (if applicable), and the servicing provider’s ID
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