News Tags: Highmark Medicare Services
During the first quarter of 2010, 158 CERT errors were assessed for all Part B contracts within Highmark Medicare Services (HMS). Of those 158 errors, 77 errors were due to insufficient documentation (error code 21), 40 were due to incorrect coding (error code 31), 38 were due to medical necessity (error code 25), and 3 was due to improper... more
To assist electronic billing customers with error messages received on the electronic reports, an interactive 1450 (UB-04) form has been developed as a crosswalk. This crosswalk is an interactive feature that displays the appropriate loops, segments, and qualifier detail when clicking on each block of the 1450 (UB-04) sample claim form. A... more
To facilitate prompt and accurate credit of unsolicited monies or voluntary refunds to Medicare, a Return of Monies form has been developed. Please use the Return of Monies form (8322) for Part B if you receive a Medicare payment in error. This form should be completed in its entirety and accompany every unsolicited/voluntary refund so that... more
In November 2011, CMS announced the selection of Highmark Medicare Services Inc. as the new Medicare Administrative Contractor (MAC) for handling both Medicare Part A and Part B fee-for-service claims in Jurisdiction H, which includes the states of Louisiana, Arkansas, Mississippi, Texas, Oklahoma, Colorado, and New Mexico. A protest was filed but... more
While pathology and radiology workflows have traditionally been independent of one another, a new partnership between telemedicine company vRad, Eden Prairie, Minn, and financial solutions provider Xifin Inc, San Diego, Calif, is seeking to bring them together.
Having been in healthcare information technology for almost 20 years I have seen my fair share of changes in both the administrative and clinical sides of healthcare, which have impacted radiology both positively and negatively.