Do I Need a Signed ABN? Who doesn’t love a flow chart? Because the ABN process can be difficult to digest, this flowchart walks users through the key questions and touchpoints when an ABN form may be required. Follow along to determine whether mandatory usage is required to be sure you don’t miss an important…
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Meeting the Criteria When using the official Advance Beneficiary Notice (ABN) forms, you must meet acceptable CMS criteria, or the form will be deemed invalid. The form must be customized specifically as recommended. Review this important information and put your completed ABN forms to the test of scrutiny. Start at the Top: One of the…
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Download Reference Document When “the horse’s mouth” speaks, we should listen. This Reference Document is the standard guidance directly from Medicare that outlines the rules and the guidelines to follow. We encourage providers to refer to this information when there are questions about proper use of the ABN form. Download, review and save this Reference…
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Guidelines for Using the 1500 Claim Form The 1500 billing form is the connection from the practice to a payer, and in this case the Medicare Administrative Contractor (MAC). Whether you are billing on paper or electronically, each field should be completed exactly according to the guidelines to ensure proper claims payment. These two helpful…
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Medicare publishes helpful documents and alerts to keep providers in the know about important topics. The use of the AT modifier in Medicare is one of the most critical billing issues providers face. Absence of the AT modifier indicates that the service is maintenance in nature…and therefore, is not payable. Statistics show that overuse of…
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Medicare modifiers are possibly the most important component in accurate Medicare billing. Understanding and using the right modifier for each situation will reduce delays in payments and lower the number of denied claims. Modifiers provide context for the story of the patient’s experience in the office and clarify important payment considerations necessary for processing. These…
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