Monday, November 1, 2010

tips to use Medicare IVR - How to enter alphabet - what are info required to validate

Medicare Provider Part B HELPFUL TIPS WHEN USING THE IVR:

* Use a telephone with a handset or headset
*  Avoid using a speakerphone or cell phone
*  Avoid calling from areas with loud background noise.
*  Speak the requested information clearly


AREAS WHERE VALIDATION IS REQUIRED:

* Status Items – National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), Tax Identification Number (TIN), Patient Medicare Number & Name as shown on the Medicare Card, Date of Service.

* Eligibility Items –NPI, TIN, and PTAN, Patient Medicare Number and Name as shown on the Medicare Card, Date of Birth

* Pending Provider Claims – NPI, TIN, and PTAN

* Provider Check Information – NPI, TIN, and PTAN

To enter the alphabetical portion of any name or number, you must indicate you are entering an alphabetical character, by pressing the * key. Second, press the key containing the letter you wish to enter. Third, press the number 1,2 or 3 depending on the position of the number of that key. (#) should be used at the very end.

For Example:
To enter A, press *, 2, 1#
To enter B, press *, 2, 2#

Voice dates as March 31st, 2008. When keying required, enter the two-digit month, two-digit day, and the 4-digit year (Both 2 and 4 digit year accepted when using touchtone only.)

(END HELPFUL TIPS)

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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download