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...
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...
by admin | Apr 26, 2012 | Medicare, Medicare Terms
Medicare Acronyms searchable list Rural Health Clinics (RHC) Federally Qualified Health Clinics (FQHC) End Stage Renal Dialysis (ESRD) Fee-For-Service (FFS) Medicare benefits •QIO –Quality Improvement Organizations •COBC –Coordination of Benefits Contractor •QIC...
by admin | Apr 26, 2012 | Medicare, Medicare Terms
MSN= Medicare Summary Notice (MSN) http://www.medicare.gov/navigation/medicare-basics/understanding-claims/understanding-claims-overview.aspx If you get a Medicare-covered service, you’ll get a Medicare Summary Notice (MSN) in the mail every 3 months. The notice...
by admin | Apr 26, 2012 | Medicare, Medicare Terms
MPPR=Multiple Procedure Payment reduction. 100% of most expensive procedure, and other similar procedures reduces by a certain percentage if done by same physician on same date Click to access MM7442.pdf Share...
