Abuse according to Medicare

Abuse according to Medicare. Definition and examples.

Anti-Kickback Statute

Know the actual law against Antikickbacks.

Automatic Crossover Carriers and Plans

Current carriers and plans that qualify for automatic crossover from Medicare.

Center for Beneficiary Choice (CBC)

Center for Medicare Management (CMM)

Coverage Guidelines for Advanced Registered Nurse

Physicians assistants and Nurse practitioners

Electronic Data Request Form (Medicare)

Electronic Data Request Form For requesting Electronic Rejects (REJ), Electronic Claims Status (ECS), and Electronic Remittance Notice (ERN)

Federal False Claims Act

The letter of the law regarding false claims.

Fraud according to Medicare

Fraud - Definition and guidelines.

HCFA Name Change

The Health Care Financing Administration (HCFA) announces its plans for reorganization and there new name.

Influenza and PPV Vaccinations

How to code and bill for Influenza and PPV vaccines.

Medical Necessity and Waiver of Liability

Medical Necessity and Waiver of Liability. Sample form that can be used for Waiver of Liability.

Medicare and Automobile Medical or No-Fault Ins

When Medicare recipients are involve in car accidents there is always the big question - What insurance carrier has to pay for the healtcare claims?

Medicare and Workers' Compensation

Medicare as Secondary Payor Development Letter

What to do when you suspect that Medicare may be secondary payor.

Medicare as Secondary Payor Questionnaire

Properly obtaining insurance information when Medicare as Secondary Payor is suspect.

Medicare Mandatory Assignment & Participation

Some pratitioner who provide services under the Medicare program are required to accept assignment for all Medicare claims for their services.

Medicare Participation Program

Participation and enrollment in the Medicare program.

Medicare Participation Programs

Eligibility: All practitioners and suppliers eligible to receive payments under Part B of Medicare may choose to enter into a participation agreement.

Medicare Phone Numbers - All States

Telephone numbers to every Medicare Carrier in the country!

Medicare Policy for Services Rendered to Immediate

We are presenting the Medicare policy affecting physicians and supplier when services are rendered to immediate relatives or members of the household

Physician's Services and Physician's Definitions

Purchased Diagnostic Test

Purchased Diagnostic Tests (Guidelines)

Medicare establishes payment rules for diagnostic tests billed by a physician but performed by an outside supplier.

The Center for Medicaid and State Operations

The List of Medicare Noncovered Services

Coding and Billing guidelines, including ICD-9 codes that support medical necessity.

Understanding Waiver of Liability

Clarification of usage of waiver of liability.

Waiver Liability & ABN Agreement

Waiver Liability (WL) & Advanced Beneficiary Notice (ABN) Agreement