Noridian Electronic Remittance Advice

Noridian Electronic Remittance Advice Basic Guides Noridian Electronic Remittance Advice (ERA) is the electronic version of the Standard Paper Remit (SPR), which serves as a notice of payment and adjustments sent to Noridian providers, billers and suppliers. It explains the reimbursement decisions of the payer. EDI Support Services (EDISS) defines a vendor as a Software Read More →

custom-elearning-development-cost

EDI Online Trainings: Education Available At Arm’s Length EDI online trainings were recently announced by EDI Academy – the leading USA supplier of profound EDI education classes. We make it possible for specialists from different industries to become a certified EDI professional from any point of the world. EDI online trainings is a comfortable and easy way Read More →

EDI Training

HIPAA EDI Training – Educational Event For Healthcare Professionals HIPAA EDI Training will be conducted by the EDI Academy in Los Angeles-LAX, CA, on October 10-12. You are welcome to thetraining to refresh your health care EDI knowledge and get more HIPAA practice at the advanced workshop.  HIPAA EDI Training Agenda Implementation and best practices of the Read More →

EDI HIPAA UB-04

EDI HIPAA UB-04 Claims Procedures (Security Health Plan) EDI HIPAA UB-04 Claims processing procedures: EDI HIPAA UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 76. Attending physician ID – The name and/NPI of the licensed physician who normally would be expected to certify and Read More →

EDI Medical UB-04

EDI Medical UB-04 Claims Procedures (Security Health Plan) EDI Medical UB-04 Claims processing procedures: EDI Medical UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 66. Diagnosis code qualifier – This reflects which ICD-9 edition used – Not required. 67. Principal diagnosis code – The Read More →

ICD-10

ICD-10 CM/PCS Procedure Basics And KPI Assesment ICD-10 CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/ Procedure Coding System) consists of two parts: ICD-10-CM (diagnosis coding) was developed by the Centers for Disease Control and Prevention for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 Read More →

ICD-10 transition

ICD-10 Transition Basics for Small and Rural Practices ICD-10 Transition deadline was on October 1, 2015 – the health care industry transited from ICD-9 to ICD-10 codes for diagnoses and inpatient procedures. ICD-10 Transition means everyone covered by HIPAA must use ICD-10 codes for health care services provided on or after October 1, 2015. Below Read More →

EDI UB-04 Claims

EDI UB-04 Claims Procedures (Security Health Plan) EDI UB-04 Claims processing procedures: EDI UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 51. Health plan ID – Providers’ current Medicare Provider Number. 52. Release of information certification indicator – This field indicates whether the Read More →

Claims processing procedures

Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 37. Unlabeled 38. Subscriber name and address – The name and address of the party responsible for the bill. This information must be Read More →

Claims Processing Procedures

Claims Processing Procedures: UB-04 Security Health Plan Claims processing procedures: UB-04 claim completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 9. a – Patient address – Full mailing address of the patient. (Required) 10. Patient birth date – The patient’s birth date must Read More →