Medicare
QuestionsAnswersReportingPhysicianConsultationServices.pdf
The National Provider Identifier - What You Need to Know
2010_Revised_Fee_Schedule_Monterey County.pdf
MLNMaters_billing for H1N1 Vaccine and Administration.pdf
MedicareMedicallyUnlikeyEdits.pdf
1995documentation_guidelines.pdf
1997documentation_guidelines.pdf
Medicare Consultation Code Crosswalk.pdf
MM6740-Revision to Consult.pdf
CMS’s Refusal to Pay Consults Makes MSP Claims a Headache.pdf
How to handle billing Medicare Secondary Claims for conults.
2010 Coding & Reimbursement Update_Jan.pdf
2010-January Coding & Reimbursement Update.
2010 Coding & Reimbursement Update Feb.pdf
2010-February Coding & Reimbursement Update.
Find global fee days.
ABN Instructions published by CMS
Quick_Reference_All_Medicare_Providers.pdf
(DEC2009) This chart includes a list of CMS web pages that ALL Medicare providers use most frequently.
Quick_Reference_New_Provider.pdf
(DEC2009) This chart includes a list of CMS web pages that NEW Medicare providers use most frequently.
Modifier AI Decision Chart.pdf
Use this decision chart to determine whether you should bill with modifier AI.
Payment System Fact Sheet Series.
AMA
American Medical Association
The American Medical Association's (AMA) National Health Insurer Report Card (NHIRC) provides physicians and the general public a reliable and defensible source of critical metrics concerning the timeliness, transparency and accuracy of claims processing by health insurance companies.
Since many private insurance carriers are still accepting consultation codes, The AMA clarified consultation services and transfer of care.
Physicians - Office Staff
Reimbursement Advocacy Program Physician Request for Claims Assistance Form. Download and fill out this form and send to SCCMA along with appropriate documentation to request claims assistance from Sandie Becker, CMC
Sample letter to obtain additional information regarding Usual and Customary Rates calculation by payer
AB 1455 Insurance Fair Practice Regulations.pdf
AB 1455 Regulations: Unfair Payment Practices Summary
Preventive care flowsheets.pdf
Child Preventive Care Flow Sheet
used by the physician to record total care plan oversight services rendered each month in WORD format, which is necessary for medical reimbursement and proper cpt coding.
emdoctable.pdf
E&M Documentation Table.
Established Patient - General Multisystem Exam Form
Medical Billing pre-employment test.
Using Time to Code Evaluation and Management
New, Revised, and Deleted ICD-9 codes effective October 1, 2009
Health Insurance Portability and Accountability Act (HIPAA) Resource Guide
