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PAYMENT FOR CPT 96101, 96118
Payment and Billing Guidelines for Psychological and Neuropsychological TestsThe technician and computer CPT codes for psychological and neuropsychological tests include practice expense, malpractice...
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Understand Florida Medicare IVR operation
Additional IVR instructions are available via our IVR Florida Medicare Part BPart B interactive voice response (IVR) operating guide 1-877-847-4992First Coast Service Options Inc. (FCSO) strives to...
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Reopen the previous request through IVR
Florida Medicare Telephone reopening requests via the IVRMedicare Part B interactive voice response (IVR) allows providers/customers to request telephone reopenings on certain claims. Features• This...
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How to request provider comparative billing report from medicare
Requesting a comparative billing report -- Part B providersComparative billing report (CBR) information is available to providers by request. The purpose of the CBR is to show comparative data Medicare...
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Improper payments and inpatient prepayment medical review MAC J9 Part A
The following provides detailed information related to MS-DRG services currently on FCSO’s prepayment medical review MS-DRG strategy. The MAC J9 CERT payment error findings are included for claims...
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HIPAA 5010 AND CO-ORDINATION BENEFIT
Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover...
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MAC J9 Part A improper payments and inpatient prepayment medical review
As the Medicare administrative contractor (MAC) for jurisdiction 9 (J9), First Coast Service Options Inc. (FCSO) is committed to assisting the Centers for Medicare & Medicaid Services (CMS) in...
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what is E & M SERVICES
Evaluation and Management ServicesAccording to Medicare’s Documentation Guidelines for Evaluation and Management Services, a level-3 established patient office visit requires medical decision making of...
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Understand Medicare basic coverage
Medicare was created by Congress in 1965.It is a health insurance program for:• People age 65 and older• People under age 65 with disabilities who have been receiving Social Security disability...
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Plans of Medicare and how people are getting the plan - Enrollment period
Medicare has the following parts:• Part A helps pay for inpatient hospital stays but also helps cover skilled nursing \care, home health care, and hospice care.• Part B helps cover medically necessary...
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what is Medigap and when to buy or purchase
Now let’s talk about Medigap. Original Medicare pays for many health care services and supplies, but it doesn’t pay all of a person’s health care costs. A Medigap policy is a health insurance policy...
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How to enroll in PECOS, Check list you need
Checklist for Sole Proprietor or Solely Owned Organizations (eg. LLC, PC)Below is a checklist of information that will be needed to complete enrollments via Internet-based PECOS: An active National...
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Two different way of Medicare enrollment process
Medicare Enrollment Application Submission Options All eligible provider and supplier organizations can apply for enrollment in the Medicare program, make a change in their enrollment information, or...
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Steps involving beform PECOS user id creation
Steps that Must Be Taken Before A Provider or Supplier Organization Can Use Internet- based PECOSBefore any enrollment action can be taken by an individual using Internet-based PECOS on behalf of a...
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PECOS FAQ - Advantages and limitation
Frequently Asked QuestionsQ1. Is Internet-based PECOS available to provider and supplier organizations in all States and the District of Columbia?Yes. However, suppliers of durable medical equipment,...
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What we can do with PECOS, Does facility address change need to notifiy to...
Q9. What types of enrollment applications can provider and supplier organizations do by using Internet-based PECOS?Provider and supplier organizations can do the following types of enrollment...
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Special payment address in PECOS and signed 2nd page question
Q15. Is there additional information that provider or supplier organization needs to send to the Medicare contractor other than the electronically submitted application?Yes. The signed and dated 2-page...
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Medicare part B deductible appliing process
Deductible FAQsQ. How is the Medicare Part B annual deductible applied to payment?A. For each calendar year, a certain cash deductible exists that must be met before payment may be made by Medicare.•...
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How to submit complete or clean claims
For proper payment and application of deductibles and coinsurance, it is important to accurately code all diagnoses and services (according to national coding guidelines). It is particularly important...
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Where NPI printed in the Loop and CMS 1500
National Provider Identification (NPI)The Health Insurance Portability and Accountability Act (HIPAA), federal Medicare regulations, and many state Medicaid agencies mandate the adoption and use of a...
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