Application Software: Description And Types Application Software is a software used to perform single or several functions specific to the definite computer environment. Application software literally means a program (group of programs) designed for the end user in certain business environment. Speaking about business application software we should mention software used in retail, logistics, warehousing, accounting Read More →

ANSI Format: A “doubled” modification Of Former ASCII ANSI Format was developed by The American National Standards Institute and presents itself as a Microsoft-related standard for character set encoding. Also ANSI Format serves as a modified ASCII (the American Standard Code for Information Interchange) character set. If we compare the ASCII code and the ANSI Read More →

Health Care Payment: Electronic Remit Advice and Standard Paper Remit Health Care Payment with Electronic Remit Advice (ERA) has a number of advantages over Standard Paper Remit (SPR). The amount payable for each line and/or claim as well as each adjustment applied to a line or claim can be automatically posted to accounting or billing applications from an Read More →

Health Care Payment and Remittance Advice Health Care Payment information is reported within ERA (Electronic Remit Advice) or SPR (Standard Paper Remit). After Medicare processes a claim, either an Electronic Remit Advice or a Standard Paper Remit is sent with final claim adjudication and payment information. One Electronic Remit Advice or Standard Paper Remit usually Read More →

ASCA Waiver Application Guidelines For Providers ASCA Waiver Application guidelines describe some situations when this electronic billing requirement could be waived for some or all claims, but a provider must obtain Medicare pre-approval to submit paper claims in these situations: Any situation where a provider can demonstrate that the applicable adopted HIPAA claim standard does not Read More →

Claim Status Request and Response CMS Guidelines Claim Status Request and Response: Providers have a number of options to obtain claim status Information from Medicare Administrative Contractors (MACs): Providers can enter data via the Interactive Voice Response (IVR) telephone systems operated by the MACs. Providers can submit claim status inquiries via the Medicare Administrative Contractors’ provider Read More →

Electronic Health Care Claims Submission Notes Electronic Health Care Claims: Claims may be electronically submitted to a Medicare Administrative Contractor (MAC) from a provider using a computer with software that meets electronic filing requirements as established by the HIPAA claim standard and by meeting CMS requirements contained in the provider enrollment & certification category area Read More →

Fred’s Merchandise BOL (Bill of Lading) Data Requirements Fred’s Merchandise BOL (Bill of Lading) is an all-important part of Fred’s rail and truck transportation arrangements with its business partners. Bill of Lading serves as the basic contract of carriage between the shipper and all connecting carriers, as a receipt for the goods, and as indicia of ownership Read More →

ASCA Self Assessment Basic Requirements ASCA Self Assessment guidelines refer to the Administrative Simplification Compliance Act (ASCA) that prohibits payment of initial health care claims not sent electronically except in limited situations: Small Provider Claims: The word “provider” is being used generically here to refer to physicians, suppliers, and other providers of health care services. Providers Read More →

ASCA (Administrative Simplification Compliance Act) Enforcement Reviews ASCA (Administrative Simplification Compliance Act) prohibits payment of services or supplies that a provider did not bill to Medicare electronically. “Providers” is used in a generic sense here and refers equally to physicians, suppliers, and other health care providers. Providers are required to self-assess to determine whether they Read More →