The new 1500 Billing Form is resulting in increased denials from
Medicare.First Coast Service Options’
(FCSO) online instructions are much more informative than calls to FCSO for
assistance.Here are some of the best
resource links and highlight of common errors resulting in rejections or
denials.
CMS and insurers started receiving and processing paper claims on the revised 1500 claim form (Version 02/12) on January 6, 2014. One of the most significant changes is item number 21. According to CPT, in the upper, right area of the field, two dotted lines were added to create a one-byte space to report an indicator that identifies which version of the diagnosis code set is being reported. A "9" indicates the diagnosis codes are from the ICD-9 code set and "0" is for ICD-10. The use of the indicator will be necessary during the transition to ICD-10 and when reporting services that span the Oct. 1, 2014 implementation deadline. Here are some helpful resources:
A new webinar on "Coding and Billing in Florida Workers' Compensation" now joins the original "Introduction to Florida Workers' Compensation" to provide a helpful resource to FCA members. There are signs and reports from around the State of an emerging increase in utilization of chiropractic for on-the-job injuries addressed through the workers' compensation system. FCA Help Desk Coordinator Mollie Frawley, R.N., who has a vast background in Florida Workers' Compensation, has condensed the full 5-hour workers' compensation certification course to two brief webinars which can be accessed by members on a complimentary basis, any time.
Following are many references to help you understand and comply with the rules, regulations and expectations of the Florida Workers’ Compensation system. To get you started, this includes important steps in accepting a patient who was injured on the job, under Florida law.
Forms & Resources 