by admin | Apr 27, 2012 | Medicare, Medicare Terms
IVR = Interactive Voice Response (IVR) System Part A Interactive Voice Response (IVR) System ■1-866-497-7857 •Claim Status •Beneficiary Eligibility •Check status •General information regarding the Medicare Program Share this: Click to share on X (Opens in new window)...
by admin | Apr 27, 2012 | Medicare, Medicare Terms
MSP = Medicare Secondary Payer Applies when Medicare is not the beneficiary’s primary insurance ■More than $4.5 billion saved annually on claims paid by primary insurers Job-related illness or injury covered under Worker’s Compensation ■Accident injuries...
by admin | Apr 27, 2012 | Medicare, Medicare Terms
RTP = Return to Provider Share this: Click to share on X (Opens in new window) X Click to share on LinkedIn (Opens in new window)...
by admin | Apr 27, 2012 | Medicare, Medicare Terms
ERA = Electronic Remittance Advice (ERA) ERA transactions are sent based on the NPI/PTAN combination when the payee information is different than the rendering data •The zip codes entered on the claims are used to match to the appropriate PTAN ■Reports the final...
by admin | Apr 27, 2012 | Medicare, Medicare Terms
EFT = Electronic Funds Transfer Benefits of EFTs ■Funds are available faster ■Administrative costs are reduced ■Accounting Department can reconcile receivables ■Contribute to the Paper Reduction Act Share this: Click to...
by admin | Apr 27, 2012 | Medicare, Medicare Terms
EDI= Electronic Data Interchange EDI helps provide quick efficient exchange of healthcare information •EDI provides access to HIPAA compliant transactions ■270/271 Eligibility Response in real time from the CMS data center ■276/277...
