FAQ Archives

FAQ-Initial HIPAA Training

Initial HIPAA Training FAQs We have gathered some common questions submitted by providers to the KMC University help desk on how long, how often, and what to include in HIPAA training. Please take a moment to review these for additional information on matters not addressed in this module. Q: What types of organizations must provide…

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FAQ-Medicare Fee Schedule

Medicare Fee Schedule FAQs Q: Where can I find my Medicare Fee Schedule? A: You can find the Medicare Fee Schedule on your Medicare Administrative Contractor’s (MACs) website. Many of the MACs offer a link on their home page that directs you to the fee schedule look-up tool. You need to know your enrollment status…

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FAQ-Medicare ABN

Medicare ABN FAQs Q: How does the ABN apply to therapy, exams, x-rays, and other services that Medicare does not cover? My understanding is that I don’t need an ABN for those services. Is that correct? A: Per CMS, “ABNs are not required for care that is either statutorily excluded from coverage under Medicare (i.e….

FAQs-Avoid Medicare Billing Pitfalls

Medicare Billing Mistakes FAQs Q: I heard Medicare allows more visits for longer treatment periods when you use special secondary diagnosis codes. Is this true? A: Medicare has protocols in place that are often based on the severity of the patient’s condition. Although a patient’s condition is reported through diagnosis codes, understanding Medicare’s process for…

Examine Medicare Modifier Usage

This colorful, visual reference discusses modifiers and some of the acronyms used and misused in coding. It is offered as a down-to-earth dialogue that is easy to read and makes the information easy to retain. Study it and share it with your team members to provide a better overview of Medicare modifiers in your practice.

FAQ-Medicare Verification

Medicare Verification FAQs Q: I called to verify Medicare for a patient and was asked for a PTAN number. What is it & why don’t I have one? A: Medicare Providers are issued Provider Transaction Access Numbers (PTANs) for each place they work. The PTAN identifies the person that renders services to Medicare Beneficiaries in…