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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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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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…
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Have you ever wondered why some doctors are successful while others work just as hard and are always struggling? At KMC University we used to wonder but as we worked closely with a variety of clinics, we were able to identify areas of weakness and as a result, developed the KMC University Financial System. This…
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How Much Time Do You Have? We are often asked how much time an office has to file claims to Medicare. This is of particular interest when Medicare is a secondary payer, and the office must wait for the primary carrier to pay or deny before billing. Medicare Timely Filing is addressed in Section 6404…
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If you struggle with when to bill Medicare and when the patient is responsible for treatment, this mini-class can help you sort it all out. When you are clear on the differences that make Medicare billing unique (e.g., the three covered codes for spinal manipulation, the appropriate use of the ABN form, and the nuances…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials.
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