BC Advantage Magazine
 
 
FREE ERISA Appeals E-BOOK
By Steven M. Verno | CMMC, CMMB, NREMT-P

If you're getting a denial or having trouble appealing denials after treating your patients maybe you need to look a little closer at your patients insurance coverage and see if it is an ERISA plan.

For a FREE copy of the ERISA Appeals e-book by Steve Verno please
Click here to DOWNLOAD YOUR FREE COPY

 
03 February 2012 ERISA Court Ruled For Patients In A Self-Insured Out-of-Network UCR ERISA Class Action Lawsuit
30 January 2012 Federal Court Ruled For Hospital: No PPO Prompt Pay, No PPO Discount & No ERISA Pre-emption
30 January 2012 Court: $1.1 Million Denied By UnitedHealthcare? Hospital Must Do ERISA In 16 Days!
30 January 2012 AMA chief to Boehner: Kill ICD-10
25 January 2012 CMS: Here's how you get thrown out of Medicare and Medicaid
23 January 2012 2012 U.S. Healthcare CEO: Court & Einstein: $2 Million Overpayment - ERISA, Fraud Or Defamation?
 
 
 
 
 
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  For the Week of June 27, 2011
 

 

  Respiratory: What are the two CPT codes for smoking and tobacco use cessation counseling services that replace the temporary HCPCS codes G0375 and G0376 previously used for billing these services? - Read more...
 
 
  Radiology: Can you please tell me how the following procedure should be billed? Whole-body imaging was performed on January 20 and 21 (images done at 4 and 24 hours). SPECT imaging was done only on January 21. Should this be reported as 78804 on January 21 and 78803 - Read more...
 
 
  Pharmacy: To which Medicare contractor would a claim be submitted when a pharmacy dispenses a drug that will be administered through implanted DME but a physicians service will not be used to fill the pump with the drug? - Read more...
 
 
  Pharmacy: To which Medicare contractor would a claim be submitted when a pharmacy dispenses a drug that will be administered through implanted DME but a physicians service will not be used to fill the pump with the drug? - Read more...
 
 
  Laboratory: When a CPT code is not listed on the Clinical Laboratory Fee Schedule, how does one determine reimbursement? This is the case, for example, with CPT code 88313-special stains; group II, all other (e.g., iron, trichrome), except immunocytochemistry and im - Read more...
 
 
  Cardiology: We have had some debate over when we can use the codes for IV injection initial (96374) and IV injection additional (96375). - Read more...
 
 
   
 
   
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