Download Support Tools Medicare Advantage (MA) Verification Form Master Template
Data That Leads to Reimbursement By building a solid data collection and verification process, a clinic can increase reimbursement and reduce frustration. This tutorial will walk you through the ins and outs of gathering information that will assist the clinic in submitting clean, payable claims. You may think that verification is too time consuming but…
Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…
Download Support Tools The KMC University Medicare Verification Form is designed to guide the staff member in collecting the necessary information for Medicare coverage verification. Throughout this course, we advise clinics to refrain from depending on the patient to know their coverage and benefits. It will only lead to bad information and delayed reimbursement. The…
Verifying QMBs Medicare Qualified Beneficiaries (QMB) hold special status when it comes to cost sharing in your office. It’s important to identify them carefully before any financial transactions have taken place. In 2017 CMS set up a system to help clinics and clearinghouses verify status. The system is called the HIPAA Eligibility Transaction System (HETS)….
Medicare Modifiers FAQs Q: How do I bill Medicare for the statutorily excluded services such as exams, therapies and x-rays? A: When submitting Medicare claims for statutorily excluded services, each service must have a “GY” modifier. For therapy services, you must include the “GP” modifier as well (GY GP). The GP modifier is also referred to…