Download Support Tool Electronic Health Record use is increasing throughout health care. It has streamlined documentation and billing and affected the office’s ability to follow HIPAA (Health Insurance Portability and Accountability) and other required regulations. Many offices still use some paper documents, which also has benefits. It is important to know how and why something…
Medicare Claims – Paper vs Electronic
What are the Rules? Since October 16, 2003, The Administrative Simplification Compliance Act (ASCA) prohibits payment of initial health care claims not sent electronically, except in limited situations. The exclusion that applies to most doctors of chiropractic is the ‘small provider claims.’ CMS states: The word “provider” is being used generically here to refer to…
EDI Enrollment vs Paper Claims
Electronic Data Interchange vs Paper Billing Once the Medicare enrollment application is approved, providers are assigned a Provider Transaction Access Number (PTAN) along with an Effective Date. This number is exclusive to Original Medicare Part B and will never be used in conjunction with any other Medicare Plan, such as Medicare Advantage Plans or Railroad…