Mapping Your Charges

Sometimes a clinic will receive a notice from a payer requesting specific data to be placed in a line item of the claim form. If ignored, the claim would be denied. This requires the clinic to figure out where that data is entered in the software so that it can populate correctly on the form....
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Medicaid Reference Documents

Download Reference Documents Most of the resources a clinic will need can be found on the dedicated Medicaid website for their state. Listed below are some resources developed by CMS that can assist with understanding key aspects of the Medicaid program. How to Use the Medicaid National Correct Coding Initiative (NCCI) Tools Medicaid Provider Enrollment...
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Coding Therapeutic Exercises – 97110

97110 Description Description CPT code 97110, therapeutic exercise, is described as a therapeutic procedure-each session 15-minutes long—that treats one or more areas. The exercises are used to develop a single-exercise parameter that includes strength, endurance, range of motion, and flexibility. These activities are performed one-on-one with the patient. This code represents a distinctly separate and...
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Proper Use of S8990

Code S8990 & Maintenance Care Service codes (CPT/HCPCS) tell a third party what you are doing with the patient.  As with all coding, even maintenance care must be properly coded to clearly communicate in the patient record within your software, and for any authorized third-party that may have access to this data. S8990 Explanation Definition...
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Cash-Based Practice and Other Insurance

Dealing with Insurance Carriers While Being a Cash-Based Practice The essence of a cash-based practice is collecting most, if not all, payments across the front counter vs. waiting for payment from a third-party payer. Many providers find themselves on the wrong side of the rules by creating variations of this concept, sometimes without even knowing...
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The KMC University Financial System

Download Support Tool This support tool outlines the different cogwheels that represent processes for reimbursement success. As you work through the modules in this course, we recommend that you reference this image. Take note of areas that may have been overlooked in the clinic. You can also use it as a checklist. Once you have...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.