By FBC Services
Medicare General Information Medicare A General Information ◦ NO-Pay and Benefit Exhaust Bills ◦ SNF Denial Information ◦ MSP Medicare Secondary Payer ◦ Assessments and OMRA’s Medicare B General Information ◦ What’s Covered ◦ Bundling and Therapy Caps ◦ 59 and KX codes
DDE Information ◦ Claims Correction ◦ CWF Roster Billing Questions and Answers
The Medicare Program Eligibility Benefit Period
No Pay and Benefit Exhaust Bills SNF Denial Information MSP Medicare Secondary Payer Assessments and OMRA’s
How and When to do a No-Pay Bill Appropriate Codes No-Pay Bill Vs. Demand Bills
Denial on Admission UR Denials Denial Paragraphs For CMS Denial Letters Go To The CMS site at andSNFDenialLetters.asp
MSP Overview When and How to Submit an MSP Claim
ARD’s and Grace Days OMRA’s Assessment Schedule Assessment Tracker
Medicare MDS Assessment Type Reason for Assessment (AA8b code) Assessment Reference Date Applicable Medicare Payment Days 5 day01Days 1 – 51 through day07Days 11 – 1415 through day02Days 21 – 2931 through day03Days 50 – 5961 through day04Days 80 – 8991 through 100
What’s Covered To Bundle or Not to Bundle Therapy Caps 59 and KX codes What to do when you’re out of space
Menu’s Claims Corrections and Adjustments CWF Roster Billing
Claims-Special OC Codes Return to History Rejected Claims Claim Change Codes
How to Read the CWF Insurance Codes
FLU and PPV HCPCS Rates Format