Arkansas Medicare Services: Frequently Asked Questions

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Provider Home > Resources > Data Analysis > Frequently Asked Questions

Frequently Asked Questions

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Question	Date Updated
Is G0102 covered when billed with an E/M service on the same day?	12/18/2008 2:02 PM
Has the MAC been announced for Jurisdiction 14?	12/18/2008 2:01 PM
Is a prosthetic eye paid separately from SNF consolidated billing?	12/18/2008 1:59 PM
Where do I find information to determine if a procedure code is considered a bilateral service?	12/18/2008 1:59 PM
Why does my remittance statement have a late filing charge?	12/18/2008 1:58 PM
Can a patient, who is in a skilled level of care, leave the Skilled Nursing Facility for a holiday meal?	12/18/2008 1:57 PM
Should a Critical Access Hospital bill professional charges for Method II to Part A or Part B?	12/18/2008 1:56 PM
Has the MAC been announced for Jurisdiction 14?	12/18/2008 1:56 PM
How do you enter a Roster Bill claim in FISS DDE? I can only enter the first line and can not tab to the second line of information that is needed to store the claim.	12/18/2008 1:56 PM
How do I report medically reasonable and necessary units of services in excess of a Medically Unlikely Edit (MUE)?	12/18/2008 1:55 PM
If the patient is treated for 2 months and an ADR is requested for a few dates of service, do we need to send notes for the prior dates?	12/18/2008 1:55 PM
We are familiar with the 3 day payment window rule, what if the outpatient service is rendered within 3 days of an inpatient hospitalization by another provider, do we bundle the outpatient services with the other facilities inpatient claim?	12/18/2008 1:54 PM
What is the time limit for submitting Medicare Part A claims?	12/18/2008 1:50 PM
Is the Medicare Credit Balance Report (CMS- 838) due to the Fiscal Intermediary on the 30th or 31st day for each quarter? Do claim adjustments entered on FISS DDE have to be reported on the CMS- 838?	12/18/2008 1:49 PM
HCPCS code J9213 Interferon alfa-2a has been added to the Self-Administered Drug Exclusion List. However, is it still included as a covered code in the Anti-Cancer LCD?	9/30/2008 3:45 PM
When should providers use modifier 59?	9/30/2008 3:44 PM
When do you use modifier JW-Drug amount discarded drugs/not administered to patient?	9/30/2008 3:43 PM
When is the flu season - what months, and where can this be found?	9/30/2008 3:43 PM
What is the appropriate timeframe to deliver the generic notice for an expedited determination?	9/30/2008 3:40 PM
Where can providers find coverage criteria for a new service covered by Medicare?	9/30/2008 3:40 PM
Can a provider file an outpatient claim as provider liability?	9/30/2008 3:39 PM
Can a SNF bill Medicare for a patient who was admitted for a fractured hip but was also provided routine Hospice for COPD and Dementia?	9/30/2008 3:38 PM
We have an inpatient stay where the patient had Part A & B at the time of admission. The Part A termed in between the stay, the Part B still effective. Do we just bill the Part B charges when Part A ended to D/C?	9/30/2008 3:37 PM
What happens when a patient has coverage ending in between an inpatient stay and another one becomes effective?	9/30/2008 3:36 PM
Can a PA perform and bill Medicare directly for Consultation E/M services in a hospital setting?	8/18/2008 10:54 AM
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