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.
Pages
- Home
- Medical Billing Question and Answer - Terms
- Insurance Denial Claim Appeal Guidelines.
- Medical Billing Downloads
- Understand Medical Billing
- Medical Billing Outsource
- Medicare Coverage and Plan Overview
- Advertise with us
- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
- Overall Medical billing process
- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
- Internal Medical Billing Audit - how to do

Provider having multiple location - how to enroll
Service Locations:
I have multiple service locations. How do I ensure all mail and checks go to one address?
Checks will be sent to the W9 address listed in the revalidation application. If multiple locations are currently enrolled with separate Medicaid ID numbers, the address to which your checks will be mailed is based on the Pay-To W9 information provided in the revalidation application. If all locations use the same W9 address, then all of your checks will be delivered to that address.
Our current services are provided outside of the office. How do I show this in our revalidation application?
When you revalidate in WV Medicaid, you will record the location of the office administering the provision of services only. Later, when you submit claims to Molina Medicaid Solutions, you will indicate where the services were provided using the National Place of Service code set.
Why do I have to answer the same question when I am adding a rendering provider and I have already provided the information under my service location? There are circumstances where a service location might provide a service that will not include participation by all rendering providers. For instance, a service location may offer Physician Assured Access System (PAAS) services, however not all rendering providers at that location may be eligible to provide PAAS services.
What is the PAAS Program?
The PAAS Program is only applicable to primary care type physicians and provider types. Examples of the provider type, and physician specialties are: Internal Medicine, Family or General Practice, Pediatricians, OB/GYN, FQHC’s, and RHC’s, etc.
I’m not a specialty, or provider type for primary care. How do I answer the questions “Are you a PAAS Provider”, and “Do you want to be a PAAS Provider?
Answer these questions as NO.
Why does the Service Location screen on the PEAP system ask for a minimum and maximum age?
Some provider specialties only accept patients of a certain age. An example would be a pediatrician would only have patients from under 1 year of age to 18 years of age.
Will each service location have to be added? Example we have 41 Service Locations.
Yes every location and Provider at that entity
Subscribe to:
Post Comments (Atom)
Medical Billing Popular Articles
-
CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age...
-
Procedure CODES and Descriptions 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an indi...
-
CPT Code and description 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age an...
-
When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R...
-
Procedure code and Description 99251 Inpatient consultation for a new or established patient, which requires these 3 key components: A pro...
-
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...
-
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...
-
Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indic...
-
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...

No comments:
Post a Comment