Billing Guidelines Archives

Billing Guidelines

OPPS Payment Status Indicators are assigned to every HCPCS code. The Payment Status Indicator Identifies whether the service described by...

Billing Guidelines

Being non-par does not mean you don’t have to bill Medicare. All Medicare part B covered services must be billed...

Billing Guidelines

Clinical Laboratory Improvement Amendments of 1998 (CLIA) requires that a laboratory be appropriately certified for each test it performs. The...

Billing Guidelines

Obstetrics and Gynaecology / Maternity care services; 1. Antepartum care2. Delivery services3. Postpartum care The two types of OB coding...

Billing Guidelines

There are two versions of the documentation guidelines – the 1995 version and the 1997 version. The most substantial difference...

Billing Guidelines

The CPT codes for Clia waived tests can be found below. The following information is for the CLIA waived tests...

Billing Guidelines

CARC and RARC Codes The following information is for RARC codes & CARC codes meaning for medical billing. What are...

Billing Guidelines

Descriptions of 99 place of service codes can be found below. Use the POS codes to describe a place where...

Billing Guidelines

By Mary LeGrand, RN, MA, CCS-P, CPC; Margaret Maley, BSN, MS; Robert H. Haralson III, MD, MBA; M. Bradford Henley,...

Billing Guidelines

AAPC’s Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings and is held...

Billing Guidelines

Humana utilizes the following code-editing logic: CPT 78593 will not be separately reimbursed when submitted with CPT 78585. CPT 11101...

Billing Guidelines

Aetna considers chiropractic services medically necessary when all of the following criteria are met: If no improvement is documented within...