Guide to Medicare Billing

UPDATE YOUR BILLING PROCEDURES TO NEW REGULATIONS

Updated November 2018

A Guide to Medicare Billing manual is an excellent "on the shelf" resource for both new and seasoned billing staff!
Ensure compliance with the newest rules, regulations and UB-04 guidelines.

The manual includes:

• NEW use of KX Modifier for threshold amount
• Services that are billable for Medicare Part A & B.
• RUG-IV Billing Codes including Assessment Indicators and Occurrence Code 50.
• UB-04 billing samples for Part A, Part B and Demand Bills.
• No Pay Bills and Benefits Exhaust Bills.
• Accessing ADR's in FISS, and the Redetermination Process.
• Adjusting and Canceling Claims. 
• Customizable versions of the revised SNFABN and current Expedited Determination Notices.
• Appropriate use of HIPPS, HCPCS, and CPT coding, with actual samples to follow when completing a UB-04.
• All forms on USB/Flash Drive for easy implementation.