Determine if Medicare will Make an MSP Payment

Table of Contents Step 1: Determine if Medicare Will Make an MSP Payment MSP Payment May be Made If: No MSP Payment is Made by Medicare If: Step 2: Determine the Amount of Secondary Benefits Billing Reminders Which Can [...]

Determine Beneficiary Responsibility on an MSP Claim

Table of Contents Determine Beneficiary Responsibility on an MSP Claim Step 1: Review the Remittance Advice Step 2: Ensure the Primary Payer’s Payment Satisfied the Medicare Deductible and Coinsurance Amounts Step 3: Assess Beneficiary’s [...]

Medicare Secondary Payer: Don’t Deny Services & Bill Correctly

MLN Connects® Newsletter: February 1, 2024

MLN Connects® Newsletter: February 1, 2024 News Participation Continues to Grow in CMS' Accountable Care Organization Initiatives in 2024 CMS Roundup (Jan 26, 2024) Claims, Pricers, & Codes HCPCS Application Summaries & [...]

February 2024

In This Issue National Government Services Articles for Part A and Part B Providers 2024 Annual Update to the Therapy Code List: Caregiver Training Codes 2024 Annual Update to the Therapy Code List: Remote Therapeutic Monitoring A/B [...]

Correct Coding of Molecular Testing Panels (Revised)

Correct Coding of Molecular Testing Panels (Revised) The submission of claims using individual gene CPT codes, when gene panels are ordered, is considered incorrect coding. Correct coding requires that when a panel code is ordered, it should [...]

Fraud and Abuse Right Hand HHH

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part A

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]

Fraud and Abuse Right Hand Part B

UPIC Contact Information UPIC Western Qlarant Integrity Solutions, LLC Qlarant Website States: Alaska, Arizona, American Samoa, California, Guam, Hawaii, Idaho, Montana, Nevada, North Dakota, Northern Marianas Islands, Oregon, South Dakota, [...]