P.O. Box 1051 Augusta, GA 30903-1051 Usually Medicare does not accept primary paper claim so please find out the payor id and submit the claims electronically. Here is the updated list of Medicare all state phone number and payor id, Its usually change to different clearing house hence double confirm before doing any setup.
HyperTerminal Medicare Billing Tutorial
If you do not have a modem you can get an external USB Modem. If you have any computer parts stores in your area give them a call and ask if they have any external USB modems. If you can’t find one locally you can order one from various online retailers. Once you get the modem you will plug it into the USB port on your computer and plug a phone line into the other end. It should also come with a CD to install it. Once the modem is connected and installed you should be able to select the modem in HyperTerminal.
Medicare Billing for Well Woman Exam
1. Cervical High Risk Factors a. Early onset of sexual activity (under 16 years of age) b. Multiple sexual partners (five or more in a lifetime) c. History of a sexually transmitted disease (including HIV infection) d. Fewer than three negative pap smears within the previous 7 years 2. Vaginal Cancer High Risk Factors: DES (diethylstilbestrol) exposed daughters of women who took DES during pregnancy 3. Personal History of Health Hazards: If a patient has a specified personal history presenting hazards to health then apply the V15.89 diagnosis and the appropriate health history hazard (example: V10.3 History of Breast Malignancy). Any V15.89 diagnosis is considered high risk and makes the patient eligible for the yearly G0101 and Q0091.
Medical billing cpt modifiers and list of medicare modifiers.
Care Plan Oversight Services Care Plan Oversight (CPO) is physician supervision of patients under either the home health or hospice benefit where the patient requires complex or multi-disciplinary care requiring ongoing physician involvement. Medicare does not pay for care plan oversight services for nursing facility or skilled nursing facility patients. Separate payment is allowed for the services involved in physician certification/re-certification and development of a plan of care for Medicare covered home health services. Submit HCPCS code G0179 for re-certification after a patient has received services for at least 60 days (or one certification period). HCPCS code G0179 may be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. Submit HCPCS code G0180 when the patient has not received Medicare covered home health services for at least 60 days. The initial certification (HCPCS code G0180) cannot be filed on the same date of service as the supervision service HCPCS codes (G0181 or G0182). HCPCS Codes G0179: MD re-certification HHA PT G0180: MD certification HHA patient G0181: Home health care supervision G0182: Hospice care supervision How to submit a claim Submit CPT codes 99201-99263 and 99281-99357 only when there has been a face-to-face meeting/encounter HHA / Hospice Provider Number: The requirement to include the HHA or Hospice provider number on a care plan oversight claim for HCPCS codes G0181 and G0182 is waived until further notice, and as a result, claims submitted with the number will be rejected. Dates of service: for HCPCS codes G0181 and G0182, submit the first and last date during which documented care planning services were actually provided during the calendar month. Do not submit the first and last calendar date of the month unless services were provided on those dates) Submit the claim after the end of the month in which the service is performed Report care planning only once per calendar month Report only one month’s services per line item Dates of service: for HCPCS codes G0179 and G0180, submit the date physician signed the certification or re-certification Documentation Claims for care plan oversight services will be denied when review of the beneficiary claims history fails to identify a covered physician service requiring a face-to-face encounter by the same physician during the six months preceding the provision of the first care plan oversight service Medical records for these service must indicate: The physician spent 30 minutes or more for countable care planning activities The specific service furnished, including the date and length of time
Medical Billing and Coding
Effective immediately please direct all mail, bills and reports for the Sedgwick CMS Oakland and Van Nuys Offices to our new mailing address. Please note this address change only applies to the Oakland and Van Nuys offices which previously used the following addresses: P.O. Box 1027 Van Nuys, CA 91408-1027 P.O. Box 2065 Oakland, CA 94604-0064 New Address: Sedgwick CMS -Sedgwick CMS iVOS MCU P.O. Box 14479 Lexington, KY 40512-4479 Our mailing address has changed; however your claim will continue to be administered from our Oakland and Van Nuys offices by our team of claim professionals. Our phone and fax numbers remain the same. If you are workins with other clients in Oakland and Van Nuvs not usina the addresses listed above, you should continue to use the address they have provided to vou. We look forward to providing quality customer service. If you have any questions, please contact our claims professionals in the appropriate office at their regular number.