ICD-10 codes are routinely updated, revised, and sometimes, discontinued by the American Medical Association (AMA). If one is discontinued, it will be based on the service date.
For example, if you are using ICD-10 N18.3 for a patient...
Did you know there was an electronic tool where you can find a patient's Medicare Beneficiary Identifier (MBI) if they do not have their insurance card? You first need access to eServices. Once you have access, you will have access to the...
Accepting Insurance Assignment Part of accepting assignment on your claims to insurance payers will usually direct the insurance payment to your office, rather than being sent to the patient. There are times when you need to "not" accept a...
National Provider Identifier (NPI) A National Provider Identifier (NPI) is a 10-digit numerical unique identifier and a Health Insurance Portability and Accountability Act (HIPAA) standard. NPI replaced the numerous different provider numbers p...
Credentialing and Enrollment When applying to become "in-network" with a health insurance payer, the process contains several distinct parts including credentialing and enrollment. Let's discuss each of these so you will know what to e...
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.
Within the Remittance Report screen, a user can view or hide certain columns. These include the ERA Paid, Adjusted, and Patient Responsibility columns. ERA Paid - the amount posted in the account that matches the trace number. This amount ...
Occurrence codes and their respective dates disclose the payer-specific event(s) related to the billing period on the UB04. They are located in boxes 31-36 on the UB04. To view and enter them into your patient's...
Sometimes a payer will require a separate identifier on the claim along with the billing/rendering NPI. DrChrono makes it easy to add this information, by payer, so that it will be on each claim, helping to ensure that your claim is accepted for pr...
A point of origin code discloses to the payer the source or method of the patient's referral for admission. The point of origin code is similar to a "place of service" code on a professional claim/HCFA-1500 form. To add it to an institutiona...