Gw and Gv both can be used actually its depend upon the when patient enrolled in hospice and services rendered which are related to diagnosis then Gw and not related to diagnosis Gv can be used.. am i correct bro..!
@@PKRVibesCareerGrowthHi Sir, we can not bill to patient in every case. If claim denied for missing member I'd then we can found the correct member I'd with SSN, member first and last name and DOB.
Which is best for our carrier Credentialing or Ar caller? I have 6 months in credentialing and 6 months in AR deniel management. Please suggest from your experience
While checking hospice name in Google we get hospice npi using that npi in nppes registry we get mailing address so can we bill the claim to that billing adress Medicaid dnd E/M codes while patient is in hospice r is any particular cpt code avalible for hospice for medicaid?
It’s not like any particular CPT code. In this case as a AR caller you need to transfer the claims to internal coding team. So that they will appended appropriate Modifier based on your procedure and On Hospice details.
If patient is enrolled in hospice patient has only medicaid, medicaid dnd claim as patient is enrolled in hospice, so i called to medicaid get hospice information can we bill to hospice is any payor id avalible for Hospice how to submit the claim to hospice, without payor id how to submit the claim
Okay Run eligibility for denied payer (Medicaid) to verify the any Hospice covered details. If hospice details not available on your eligibility page, you need to call to verify complete Hospice details and need to bill claim to Respective Hospice care. Please note that if payer ID not found , submit the claims through Paper.
@@nehashah9541 Medicare is primary Payer who pays as primary. Medigap (also called Medicare supplement Plan) is always secondary payer to patient who has Medicare coverage. Medigap always supplements the gaps(Copayments or Coinsurance). Kindly note Bcbs Medicare or UHC Medicare are Medicare Advantage Plans but not Medigaps.
If the claim got dnd for referral missing while chked in insurance they said no referral found, patient has hmo plan so we get pcp name and phone # and finish the call Is any possible to get referral# in facility to get connect with medical records team?
Good question: Try your best to connect and get. Please note that if not possible to get all your sources, then you will need to contact patient or bill claim to patient for referral missing scenarios
Ar:- do you have any hospital claim billed on the same date of service where referral is available Rep:- no Ar:- fax#,appela mailing address,appeal limit,claim,ref# If rep yes:could you please reprocess the claim with using that referral nm, normal turn around time,claim,ref#
Duplicate DENIAL LINK given below................... th-cam.com/video/LTYb-WOpXyk/w-d-xo.html And also explore the below links for more info related to Interview Q & A........ AR CALLING INTERVIEW Q & A (PART 1) th-cam.com/video/h9iqDUe6ND0/w-d-xo.html AR CALLING INTERVIEW Q & A (PART 2) th-cam.com/video/OEa2MOYsfXE/w-d-xo.html
Bro great job and you provide most valuable and important things that most helpful for clarify, clear doubts and useful for interviews.
Thank you and All The Best👍
Thank you so much bro best questions for the interview preparation!
Welcome you 🤝
Nice
@@amitwalia5050 thank you for watching the video 🤝
Gw and Gv both can be used actually its depend upon the when patient enrolled in hospice and services rendered which are related to diagnosis then Gw and not related to diagnosis Gv can be used.. am i correct bro..!
Yes your correct…Superb bro 👌👌
Could you please explain about medicare and Medicaid claims
Sure👍
Hi Anna, koncham claim forms gurinchi chepandi
Sure I will do Claim Form series.
Only medicare covered hospice services. If member have medicare part B coverage then we will use GW modifier and rebilled the claim to medicare .
Yes we can appended Modifier GW, explains that billed service not related to Hospice but Provider is related/employee of Hospice.
While we bill the claim to patient if guarantor DOB is missing in that case what we have to do?
Just bill patient in case of any missing/invalid patient information.
@@PKRVibesCareerGrowthHi Sir, we can not bill to patient in every case. If claim denied for missing member I'd then we can found the correct member I'd with SSN, member first and last name and DOB.
@sachinkumar-by9hw Yes your right.
can you do other scenarios like for ortho procedures and home health?
@@defeatedgoliath sure I do.
@@PKRVibesCareerGrowth these videos are very helpful.
@@defeatedgoliath got it. Thank you
Which is best for our carrier
Credentialing or Ar caller?
I have 6 months in credentialing and 6 months in AR deniel management.
Please suggest from your experience
AR calling
Hi sir . Can you help me with health care campany in delhi ncr
While checking hospice name in Google we get hospice npi using that npi in nppes registry we get mailing address so can we bill the claim to that billing adress
Medicaid dnd E/M codes while patient is in hospice r is any particular cpt code avalible for hospice for medicaid?
It’s not like any particular CPT code. In this case as a AR caller you need to transfer the claims to internal coding team. So that they will appended appropriate Modifier based on your procedure and On Hospice details.
@@PKRVibesCareerGrowth Thanks
Suppliment plans do not covers deductible left by Medicare part B
@@Jamie009_ yes 🤝. Thank you for watching the video
If patient is enrolled in hospice patient has only medicaid, medicaid dnd claim as patient is enrolled in hospice, so i called to medicaid get hospice information can we bill to hospice is any payor id avalible for Hospice how to submit the claim to hospice, without payor id how to submit the claim
Are you sure payer, Is Traditional Medicare or State Medicaid?
@@PKRVibesCareerGrowth state Medicaid
Okay Run eligibility for denied payer (Medicaid) to verify the any Hospice covered details. If hospice details not available on your eligibility page, you need to call to verify complete Hospice details and need to bill claim to Respective Hospice care. Please note that if payer ID not found , submit the claims through Paper.
@@PKRVibesCareerGrowth Thank you
Bro tell us a difference between of Offset and Refund
Already video available in our channel. Kindly explore
Bro 2 year experience interview questions bro
@@Pk123-t1w okay 👍 sure next I plan for 2 years experience video.
Who pay as primary medicare or medigap? Kya Medigap yahi hote h like bcbs medicare UHC medicare
@@nehashah9541 Medicare is primary Payer who pays as primary. Medigap (also called Medicare supplement Plan) is always secondary payer to patient who has Medicare coverage. Medigap always supplements the gaps(Copayments or Coinsurance).
Kindly note Bcbs Medicare or UHC Medicare are Medicare Advantage Plans but not Medigaps.
@@PKRVibesCareerGrowth thank you so much. Better understand now
@@PKRVibesCareerGrowth one question then if patient have BCBs Medicare and Medicare part a and B in that scenerio who pay as a primary
Bcbs Medicare
These are Medicare advantage plan not a supplement plan
If the claim got dnd for referral missing while chked in insurance they said no referral found, patient has hmo plan so we get pcp name and phone # and finish the call
Is any possible to get referral# in facility to get connect with medical records team?
Good question: Try your best to connect and get. Please note that if not possible to get all your sources, then you will need to contact patient or bill claim to patient for referral missing scenarios
@@PKRVibesCareerGrowth Thanks bro
@@PKRVibesCareerGrowth Thanks
Ar:- do you have any hospital claim billed on the same date of service where referral is available
Rep:- no
Ar:- fax#,appela mailing address,appeal limit,claim,ref#
If rep yes:could you please reprocess the claim with using that referral nm, normal turn around time,claim,ref#
GW modifier
Medicare modifier is GV for Hospice
GW
Thank you sir
GW modifier sir
Duplicate DENIAL LINK given below...................
th-cam.com/video/LTYb-WOpXyk/w-d-xo.html
And also explore the below links for more info related to Interview Q & A........
AR CALLING INTERVIEW Q & A (PART 1)
th-cam.com/video/h9iqDUe6ND0/w-d-xo.html
AR CALLING INTERVIEW Q & A (PART 2)
th-cam.com/video/OEa2MOYsfXE/w-d-xo.html
Please Call for AR caller job I am HR from ACN healthcare
Please provide your contact details
GV modifier
Is it correct answer?
GV mod