Without this, no Medicare claim can be submitted, whether Emergency or Non-Emergency. Hint: We need one from medics and patient.
What is a signature.
100
This box should be set to yes on Tab 1 when sending a corrected claim to Care Improvements.
What is the Admitted box.
100
Membership patients would receive this % of a discount on their bills.
What is 40%.
100
This is the Medicare contractor in Texas.
Who is Novitas.
100
This occurrence code is used for Workers Comp Accidents
What is 04.
200
Unable to walk, get up from bed without assistance, or sit in a wheelchair/chair are the three criteria that make up this Medicare term.
What is Bed Confined.
200
The QN modifier needs to be added to these types of claims in tab 7 when printing to paper.
What is a Medicare HMO.
200
These 3 people should be notified to research a trip when a membership patient calls and has been turned over to collections.
Who are the Lead, the Supervisor, and NRS.
200
This patient confidentiality and release of records standard governs standard file formats for electronic submission and sets the standard for release of medical information / records.
What is HIPAA or Health Insurance Portability and Accountability Act.
200
After this many days following a proof of mailing, a provider is allowed to bill Medicare without a PCS form.
What is 21 days.
300
Pick up and drop off locations are signified with these. Hint: They appear attached to the HCPCS on tab 3.
What are modifiers.
300
This documentation goes along with a Medicaid appeal.
What is the trip ticket.
300
This is the folder location where you would find Jacksonville EOBs in Filebound.
What is the Friday of that week.
300
This Act provided protection for whistleblowers as well as established penalties against those committing fraud.
What is the False Claims Act.
300
These codes will replace the ICD9 system this year.
What is ICD10.
400
Non covered mileage would be billed with this HCPCS to Medicare.
What is A0888.
400
This discount % would be applied to a claim where VA has denied and you are billing the patient.
What is 40%.
400
This program can be used to find patient information for anyone transported to an ETMC facility.
What is is AS400.
400
This is the third level of the Medicare Appeals Process.
What is ALJ or (Administrative Law Judge).
400
This value code is used when there are multiple patients in the same ambulance.
What is 32.
500
This ETMC priority is a Life Emergency transport.
What is P1.
500
Medicaid secondary started paying the coinsurance and deductible amounts on dates of service after 9/1/2012 on these types of transports.
What are 911 calls and Hospital to Hospital.
500
This is where the permanent address box can be found in Cad.
What is modify customer.
500
This is the number of days from the R/S we have to file a Medicaid Appeal.
What is 120 days.
500
This is the Paramedics Plus California Medicare contractor.