Eligibility
In Meridian website we have different plan types, MI Medicaid, MI MMP Medicaid and MI MMP Medicare- what is the difference?
MI Medicaid is for individuals who qualify for Medicaid
MI MMP plans are for individuals who are eligible for both Medicare and Medicaid.
Knowing that we don't bill for chronic conditions in an urgent care, why do we bill J44.1?
COPD with acute exacerbation: A sudden and significant worsening of COPD symptoms needing urgent management.
What is the Birthday rule?
When a child is covered by two health insurance plans (for example, through both parents), the primary insurance is the one belonging to the parent whose birthday (month and day, not year) comes first in the calendar year.
I am a T- icd10 code that should never be used and must always be replaced by more specific codes, such as puncture wound or laceration.
T14.8XXA
I am a form of questions that is sent to the member to make sure they do not have any other insurance. Who I am?
LOI
Why don't we bill 74240?
A radiologic examination of the upper gastrointestinal (GI) tract, involving the use of a barium-based contrast material.
I determine the order in which multiple insurances pay, who I am?
COB
What is the difference between the trigger point and IM injections?
Trigger point: To relax a painful muscle knot, injected into a tight, painful spot in muscle and used for pain relief.
IM Injection: To deliver medication into the bloodstream, injected into the bulk of the muscle and used for meds.
If you were in Aboudi's team billing for hospitals, which Medicare part would you check—Part A or Part B—and why?
Medicare Part B, because it covers medical services, while Part A covers the hospital stay itself
I'm an injection, I go deep into joints I’m here to drain fluid or relieve that painful pressure.
Sometimes, I help doctors figure out what's going on inside. Who I am?
Arthrocentesis