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    Billing Process: Prioritize Larger COINSURANCE Values 2. Get Copy of Remittance Advice

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    Haira Joyce E. Puno
    The document outlines Crossover Claims billed to Medical billing process in 4 steps: 1) Print the Payment Reconciliation Report to check Medicare payments. 2) Get the Remittance Advice from the G Drive and check for patients with coinsurance amounts. 3) Get Reports of Eligibility only for patients with coinsurance to verify eligibility and check spend down status. 4) Compute coinsurance amounts by checking Service Onset Date and generating UB04 forms with necessary information like diagnosis, physician details, and verifying patient SSN for Medicare billing.

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    Billing Process: Prioritize Larger COINSURANCE Values 2. Get Copy of Remittance Advice

    Uploaded by

    Haira Joyce E. Puno
    43 views1 page
    The document outlines Crossover Claims billed to Medical billing process in 4 steps: 1) Print the Payment Reconciliation Report to check Medicare payments. 2) Get the Remittance Advice from the G Drive and check for patients with coinsurance amounts. 3) Get Reports of Eligibility only for patients with coinsurance to verify eligibility and check spend down status. 4) Compute coinsurance amounts by checking Service Onset Date and generating UB04 forms with necessary information like diagnosis, physician details, and verifying patient SSN for Medicare billing.

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    Billing Process

    Original Title

    Billing Process

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    The document outlines Crossover Claims billed to Medical billing process in 4 steps: 1) Print the Payment Reconciliation Report to check Medicare payments. 2) Get the Remittance Advice from the G Drive and check for patients with coinsurance amounts. 3) Get Reports of Eligibility only for patients with coinsurance to verify eligibility and check spend down status. 4) Compute coinsurance amounts by checking Service Onset Date and generating UB04 forms with necessary information like diagnosis, physician details, and verifying patient SSN for Medicare billing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    43 views1 page

    Billing Process: Prioritize Larger COINSURANCE Values 2. Get Copy of Remittance Advice

    Uploaded by

    Haira Joyce E. Puno
    The document outlines Crossover Claims billed to Medical billing process in 4 steps: 1) Print the Payment Reconciliation Report to check Medicare payments. 2) Get the Remittance Advice from the G Drive and check for patients with coinsurance amounts. 3) Get Reports of Eligibility only for patients with coinsurance to verify eligibility and check spend down status. 4) Compute coinsurance amounts by checking Service Onset Date and generating UB04 forms with necessary information like diagnosis, physician details, and verifying patient SSN for Medicare billing.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    BILLING PROCESS

    CROSSOVER CLAIMS BILLED TO MEDICAL


    1. Print PAYMENT RECONCILIATION REPORT
    Check how much Medicare paid
    Check RA numbers and payment date
    Take note of the PAYER types
    Prioritize larger COINSURANCE Values
    2. Get copy of REMITTANCE ADVICE
    Go to G Drive
    Check patients WITH COINSURANCE amounts
    3.

    4.

    Get ROEs (Report of ELIGIBILITY)


    ONLY for patients with COINSURANCE
    Get SSN and BIRTH DATE
    Check their ELIGIBILITY
    Carefully read comments; SOC/Spend down and who to
    bill
    COMPUTE!
    Remember to check SOC at PR (detailed) or Billing Activity

    Generate UB04 to get necessary info needed for 25-1C and


    Medicare billing
    Primary Diagnosis
    Medical RECORD No.
    Attending Physician M.D. NPI
    Use CORRECT Medicare Type A or B
    Medical ID No. = SSN used to generate Eligibility
    Double check if SSN is the same with the one shown in
    the ELIGIBILITY

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