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Jan 22, 2011 · SNF Physician Billing Any services that are performed should be billed for. Whether or not they are reimbursable will be determined based on the insurance plan. Most allow many services …

Jun 11, 2011 · medicare denial No, appeal to the secondary with a letter and dates filed with primary as well as any supporting documentation from the primary to account for the delay, if you don't have any …

Jan 29, 2019 · Hi, I was wondering if anyone knows how legal this is. Insurance A (for example BCBS) has a credit balance on a patient's account due to either an overpayment or underbooked charges. Is …

Nov 21, 2024 · Mental Health/ Substance Abuse billing OON and multiplan I recently took over billing for a psychiatrist's office. He is out-of-network with all insurance companies. He had enrolled in …

Jul 16, 2010 · Billing Scenario Either way, the patient is responsible for all deductibles and coinsurance as it is the "COST sharing" provision of their policy. This is quite a pickle because if YOU AGAIN …

May 25, 2015 · insurance rates It's ok to bill multiple fee schedules, however it's NOT efficient and can actually cause a lot of problems in a practice. First, the data/reporting that might be utilized to do re …

Jan 17, 2009 · workmens comp IME stands for Independent Medical Exam. If charges are being denied due to IME, that means that the Dr who performed the IME felt that the patient reached maximum …

Sep 28, 2010 · We are just beginning to bill Medicare Part B. When I bill 90862 to Medicaid, I use the modifier HE and have never had a problem getting it paid.