Hello! It’s me again, Susan. Your Billing Buddy! Last time we talked about the clocks turning over to the New Year and Insurance deductibles, copays, and coinsurance starting all over again on January 1st. If you didn’t get a chance
means one thing to me: THOSE DARN DEDUCTIBLES! With most health plans, benefits renew on January 1. Yeah, the dial goes back to ZERO. It’s the most awful time of the year. Let’s begin by looking at what a deductible
If you’re billing insurance out of network, you will eventually receive faxes or emails like this:
A telehealth claim during the COVID-19 Public Health Emergency (PHE) is submitted to the primary plan, a commercial plan that requires Place of Service (POS) code 02 or 10 and modifier -95. The claim applies to the deductible. The patient
A patient comes to you, says I have Medicare primary and then United Healthcare. You bill in that order, but are puzzled when Medicare denies the claim with the following reason code: CO-109: CLAIM/SERVICE NOT COVERED BY THIS PAYER/CONTRACTOR. Now
By now, we’ve all heard more than we probably want to about the No Surprises Act and Good Faith Estimates. But there is another part to the whole Consolidated Appropriations Act puzzle that concerns mental health professionals. Consolid…what? What we
Transaction #: 123456789 Card Value: $1,500.00 Date: April 1, 2021 NO … I’m not opinionated or anything… Since 2014 when I received the first “Virtual Credit Card” (yes….it really WAS that long ago), the number of payments received in this
Trying to figure out how to get paid for telehealth? * *Doing audio-only? Coding and policies for audio-only telehealth are different. This blog focuses only on two-way audio/video telehealth. If you thought it was bad in 2021, when you just
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