Recent Posts

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I am located in Marland area and would like to start a medical claim processing  business. What is the process to starting the business. i never worked in a doctors office,so do I need to take a class. Also, it seems a little hard to land your first client. I love the medical field, I wish I could work with a company part time to get the knowledge before going on my own. Are there any recommendation of how to start the business process of the MIB.
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General Questions / Re: Genetic Billing Help
« Last post by sjones@aimabms on June 19, 2018, 03:11:05 PM »
thank you for the response Michele, hope we will be able to find someone who can help!
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General Questions / Re: Genetic Billing Help
« Last post by Michele on June 19, 2018, 09:34:46 AM »
I have not done any genetics billing.  Hopefully someone else with experience will see this.
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General Questions / Genetic Billing Help
« Last post by sjones@aimabms on June 19, 2018, 09:25:54 AM »
We are a billing company based out of Sarasota, Florida.  We are being approached by many labs in Palmetto region looking for help with billing cancer genetics and pharmacogenetics after z code changes.  Is here anyone with genetic billing experience who can work as a consultant for us?
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Patient Billing / Re: Medicare Billing | Rendering Provider
« Last post by avehildebrand on June 18, 2018, 03:58:35 PM »
Thank you Michele!

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Patient Billing / Re: Medicare Billing | Rendering Provider
« Last post by Michele on June 18, 2018, 02:13:22 PM »
No you need to complete a CMS 855R form to re-assign benefits to the group.  It's a simple form and is available online at:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855r.pdf 
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General Questions / Creating a Credentialing Policy
« Last post by Jmojica on June 18, 2018, 02:12:07 PM »
Hello All! Happy Tuesday! I need to create a credentialing policy and could really use some guidance to get the ball rolling. Any advise or guidance?
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Billing / Re: New York Work Comp
« Last post by Michele on June 18, 2018, 02:11:36 PM »
I have not billed for WC in VA, but I do bill for WC in NY.  NY has WC4 forms that can be used for billing, however if you are attaching office notes you can use the CMS 1500 form.  The WC4 and WC4.2 must be used if office notes are not being sent.  A copy of whatever you send must also be sent to the state WC Board as well.  Feel free to post any additional questions.
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Facility Billing / Re: Medicare Billing Question
« Last post by Michele on June 18, 2018, 02:09:07 PM »
Just to add to this, the PT has to be credentialed, as Kristin stated, but also linked to your group using the CMS 855R.
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Patient Billing / Medicare Billing | Rendering Provider
« Last post by avehildebrand on June 18, 2018, 11:58:07 AM »
Hello,

Our claims were being denied due to our rendering provider not being contracted. I looked into it and she has a Medicare ID and is contracted. I added her to our CMS system as a staff and user under our account. Will this fix the issue? Do I need to re bill all of the Medicare claims that were denied?

Any comments or feedback would be much appreciated.

Thank you!

Ave
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