https://qpp.cms.gov/
Making RVUs Work for Your Medical Practice
Resource -Based RVU defined July 01, 2014 Linked Articles The Basics of Making RVUs Work for Your Medical Practice RVUs Remain a Relevant System to Determine Physician Compensation Assigning RVU Values to Procedures That Don’t Have Them Using RVUs to Measure Physician Performance Calculate Your RVU Payment Cost Accounting in the Medical Practice via RVU […]
What Does Accept Assignment Mean?
What Does Accept Assignment Mean? What does it mean to accept assignment on the CMS 1500 claim form – also called the HCFA 1500 claim form.? Should I accept assignment or not? What are the guidelines for accepting assignment in box 27 of the 1500 claim? These commonly asked questions should have a simple answer, […]
FY 2013 IPPS Final Rule Home Page
Link to the home page for the FY 2013 Hospital Inpatient PPS final rule FY 2013 IPPS Final Rule Home Page
Electronic Health Record (EHR)
EHR = Electronic Health Record Electronic Health Record (EHR) or Electronic Medical Record (EMR)? Sometimes people use the terms “Electronic Medical Record” or “EMR” when talking about Electronic Health Record (EHR) technology. Very often an Electronic Medical Record or EMR is just another way to describe an Electronic Health Record or EHR, and both providers […]
Medicare Terms
List of Medicare Terms (searchable) CMS Glossary of terms
Interactive Voice Response (IVR) System
IVR = Interactive Voice Response (IVR) System Part A Interactive Voice Response (IVR) System ■1-866-497-7857 •Claim Status •Beneficiary Eligibility •Check status •General information regarding the Medicare Program
Medicare Secondary Payer (MSP)
MSP = Medicare Secondary Payer Applies when Medicare is not the beneficiary’s primary insurance ■More than $4.5 billion saved annually on claims paid by primary insurers Job-related illness or injury covered under Worker’s Compensation ■Accident injuries covered under no-fault and/or liability insurance ■Federal Black Lung Program ■Veteran’s Benefits program for service-related conditions ■Public […]
Return to Provider (RTP) Reports
RTP = Return to Provider
Electronic Remittance Advice (ERA)
ERA = Electronic Remittance Advice (ERA) ERA transactions are sent based on the NPI/PTAN combination when the payee information is different than the rendering data •The zip codes entered on the claims are used to match to the appropriate PTAN ■Reports the final claim(s) information •Covered charges •Non covered charges •Coinsurance Reports the adjustment to […]
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