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
How To Determine If Your Provider Is In the Internet-based Provider Enrollment, Chain and Ownership System (PECOS)?	2/12/2010 1:10 PM
How do I use the AI modifier when billing for Consultations?	2/1/2010 2:40 PM
What are the guidelines for billing services on a timed procedure when the full 15 minutes are not provided? For example, what should be billed if we perform 9 minutes of the procedure when the procedure has a 15-minute description?	2/1/2010 2:38 PM
How do I bill for a Psychiatric Consultation?	2/1/2010 2:35 PM
I have several claims that had lines reject with reason code W7047 stating that service is not separately payable. Is there a way for us to identify which services are not separately reimbursed?	2/1/2010 2:33 PM
I billed a Skilled Nursing Facility (SNF) inpatient claim, which is now editing with reason code 12206 stating that the number of days represented must equal the covered days plus the non-covered days billed. How can I correct this claim?	2/1/2010 2:33 PM
Will Medicare cover a MRI (Magnetic Resonance Imaging) test if a podiatrist ordered the test?	1/6/2010 3:31 PM
Why is my claim being denied for "no signature" when I either handwrote the signature or electronically signed it?	12/17/2009 11:37 AM
Should the Medical Decision Making (MDM) element of an Evaluation & Management (E&M) service be the deciding factor in choosing the level of care (procedure code)?	12/17/2009 11:37 AM
What coverage information is available on Bone Mass Measurements (BMA)?	12/17/2009 11:36 AM
What are the qualifications an Audiology technician must meet to be considered qualified by Medicare?	12/17/2009 11:36 AM
Did I understand correctly that providers are to wait 45 days to resubmit a claim after originial claims submission? And 60 days after resubmitting a claim with corrections?	12/17/2009 11:35 AM
Can you provide any information or updates about the incentive for E-Prescribing?	12/17/2009 11:33 AM
Can Medicare Secondary Payer (MSP) claims be filed through the DDE (Direct Data Entry) System?	12/17/2009 11:30 AM
I have an orthopedic physician who is billing "always therapy" codes. He does have a physical therapist in his office providing the therapy. Should the orthopedic physician bill with the therapy modifier?	11/3/2009 12:22 PM
Would applying a 59 modifier to the 90471 be appropriate?	11/3/2009 12:21 PM
When using modifier 78 can the procedure room be a designated suite within the office setting?	11/3/2009 12:21 PM
Why is an injection given by a nurse at the doctor's orders, which is covered as an "incident to service" denied if it is billed under the nurse's number?	11/3/2009 12:20 PM
Please explain the meaning of "code may be used for Medicare when drug administrated under direct supervision of a physician, not for use when drug is self administrated"?	11/3/2009 12:19 PM
Does Pinnacle Medicare Services have a policy on non-physicians acting as scribes for physicians?	11/3/2009 12:19 PM
Can Chiropractors order tests such as a MRI-Magnetic Resonance Imaging Services?	11/3/2009 12:18 PM
Why does Medicare add the 51 modifier on multiple surgery procedures even if the surgeries where performed during same operative sessions?	11/3/2009 12:18 PM
If a Medicare beneficiary sees both a Nurse Practitioner (NP) and a physician during a cardiology consultation and both the NP and the physician perform all three elements of the visit, can 100% of the physician's fee be billed?	11/3/2009 12:16 PM
How does Medicare determine the primary or major surgical procedure when multiple surgeries are billed?	11/3/2009 12:16 PM
Where can I find the guidelines in writing that state pre-transplant testing for kidney donors is a Medicare Part A service?	11/3/2009 12:09 PM
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