Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

These CPT Category II codes can be billed once per member per service per calendar year. The CPT Category II codes are:  3117F – for patients who have congestive heart failure; heart failure disease-specific structured assessment tool completed. Provider completes...
Our Client told us Minimized Medical Denials Delivered Growth

Our Client told us Minimized Medical Denials Delivered Growth

“At ebix, the coders are trained to look at the physician’s coding and check to ensure the physician is documenting properly. ebix’s physician education, with auditing, provides the on-going feedback to combine sound documentation principles and implement the use of...

Incident To Services – Medicare Documentation and Correct Billing Guidelines

  General Information about Medicare Documentation. Services and supplies provided by someone other than the MD/DO or the credentialed Non-physician practitioner (NPP) e.g., ancillary staff. Appropriately documented and submitted under the incident to guidelines...

Revised and Clarified POS Code (Place of Service) Instructions Reminder

Last October we reminded you of the Place of Service change that was delayed until April 1, 2013.  In addition to establishing a national policy for the correct assignment of POS codes, the new instructions are provided for the interpretation or Professional Component...