Place of Service Codes In early 2022, the Centers for Medicare & Medicaid Services (CMS) introduced a new place of service (POS) code for telehealth services to help clarify specifically where services were rendered. ...
On an institutional claim, a 4-digit code in box 4 identifies the type of facility and type of care, and the frequency code is generated based on parameters set under the office settings and attached to a patient's claim. Facility Level ...
When health insurers process medical claims, they will use what is called ANSI (American National Standards Institute) group codes, along with a reason code, to help explain how they adjudicated/processed the claim.
The four group c...
DrChrono offers an efficient way to do all of your medical billing. A necessary step in submitting your electronic claims is having the Payer ID. A Payer ID is a unique ID number that is assigned to an insurance company to transmit your claims ...
Diagnosis Pointers Diagnostic coding (ICD-10) translates written descriptions of diseases, illnesses, and injuries into codes from a particular classification. In medical classification, diagnosis codes are used as part of the clinical coding ...
DrChrono pulls data from a patient’s chart and your office settings to populate the CMS-1500 health insurance claim form. This article identifies which fields the data is pulled from.
If you are seeing patients outside of your normal office location, the service location address must be disclosed in box 32 of the HCFA 1500 form, along with the POS code that coordinates with the service location. This article will explai...
If you have a patient with multiple insurances, one of those payers could deny your claim asking for the claim filing indicator . This indicator will identify the payer as the primary or secondary insurance. If the claim is rejected by the p...
Value codes are required on an institutional claim to identify data elements such as:
Medicare lifetime reserve days, no-fault payments, and the number of days not covered by the primary payer.
They can be easily added to the U...