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  • Will You Add? - Medical Billing - GD0 Record Fields 32 Through 40

    LEAN or Six Sigma? Which Should My Business Be Using?
    In all honesty, probably both! LEAN and Six Sigma are perfect partners and provide great synergy and complement each other nicely. Often I meet people who are unsure which approach to take and therefore delay in doing either. This means that they are losing valuable time in being able to make the changes to improve organisational performance. It is possible to start on on
    All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with

    Your Management Policy - Does It Match Your Service Policy?
    What if your customer service policy says one thing and your management says another? Recently a friend in the retail business told me of a number of cases when a customer would ask for something that was specifically against the policy of the store, for example, their money back after the 90 day deadline, etc. In every case, after the Customer Service rep said no, the cu
    There are many CMNs used for medical billing. The reason the GD0 record CMN is so long is because it is a generic CMN and has to be used to cover a number of different cases. We're almost coming to the end of our review of the GD0 CMN. In this installment, we'll be covering fields 32 through 40.

    GD0 field 32, positions 84 - 91, is the date CPM started. This field tells the carrier if the patient is using a cardio pulmonary activity monitor. If they are then the date they started using it is filled in here. This can be in either yyyymmdd or mmddyyyy format, depending on the requirements of the carrier.

    GD0 field 33, position 92, is the intractable lymphedema indicator. This field tells the carrier if the patient has intractable lymphedema of the extremities. If so, this field is filled with a Y. If not, then the field is filled with an N.

    GD0 fields 34, 35 and 36, positions 93 - 125, is the first name, last name and middle initial of the doctor who prescribed the durable medical equipment for this patient. This is a mandatory field and if the CMN is sent, this field must be filled in or the claim will be denied.

    GD0 field 37, positions 126 - 140, is the ordering provider ID number. This is the ID number of the doctor who prescribed the durable medical equipment for the patient. This field is also mandatory and must be filled in if this CMN is transmitted.

    GD0 field 38, positions 141 - 150, is the ordering provider phone number field. This field transmits the phone number of the doctor who prescribed the durable medical equipment for the patient. This is important so that the carrier can contact the doctor in case there are questions about the CMN or the equipment.

    GD0 field 39, positions 151 - 158, is the date of the CMN. Many people have a problem with this date as it can change. If this CMN is the initial certification, as designated by that field, then the original date of the CMN is transmitted here. If however, this is a recertification of a piece of equipment that was prescribed a while ago, then the recertification date needs to be transmitted here. Many claims are denied because the wrong date is transmitted in this field. The date can go over as yyyymmdd or mmddyyyy, depending on the requirements of the carrier.

    GD0 field 40, position 159, is the certification on file indicator. All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with

    Business Laws Unveiled
    Each and every person in this world must have at least once thought about opening some sort of business to increase his or her income. No matter if you are thinking about opening a small family business or a larger company, you cannot do anything but obey the business laws! If you don’t, you and your business can get into serious trouble!In case you are under the i
    rements of the carrier.

    GD0 field 33, position 92, is the intractable lymphedema indicator. This field tells the carrier if the patient has intractable lymphedema of the extremities. If so, this field is filled with a Y. If not, then the field is filled with an N.

    GD0 fields 34, 35 and 36, positions 93 - 125, is the first name, last name and middle initial of the doctor who prescribed the durable medical equipment for this patient. This is a mandatory field and if the CMN is sent, this field must be filled in or the claim will be denied.

    GD0 field 37, positions 126 - 140, is the ordering provider ID number. This is the ID number of the doctor who prescribed the durable medical equipment for the patient. This field is also mandatory and must be filled in if this CMN is transmitted.

    GD0 field 38, positions 141 - 150, is the ordering provider phone number field. This field transmits the phone number of the doctor who prescribed the durable medical equipment for the patient. This is important so that the carrier can contact the doctor in case there are questions about the CMN or the equipment.

    GD0 field 39, positions 151 - 158, is the date of the CMN. Many people have a problem with this date as it can change. If this CMN is the initial certification, as designated by that field, then the original date of the CMN is transmitted here. If however, this is a recertification of a piece of equipment that was prescribed a while ago, then the recertification date needs to be transmitted here. Many claims are denied because the wrong date is transmitted in this field. The date can go over as yyyymmdd or mmddyyyy, depending on the requirements of the carrier.

    GD0 field 40, position 159, is the certification on file indicator. All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with

    Is Buying Franchise Rights Worth the High Cost?
    Many people wish to become an entrepreneur and own their own business. While buying franchise has many upsides to it, there are also the downsides and risks that you take. It is extremely expensive to get a franchise up and running, so there are many things that you must consider before purchasing a franchise. There are many positives to owning your own business, but i
    40, is the ordering provider ID number. This is the ID number of the doctor who prescribed the durable medical equipment for the patient. This field is also mandatory and must be filled in if this CMN is transmitted.

    GD0 field 38, positions 141 - 150, is the ordering provider phone number field. This field transmits the phone number of the doctor who prescribed the durable medical equipment for the patient. This is important so that the carrier can contact the doctor in case there are questions about the CMN or the equipment.

    GD0 field 39, positions 151 - 158, is the date of the CMN. Many people have a problem with this date as it can change. If this CMN is the initial certification, as designated by that field, then the original date of the CMN is transmitted here. If however, this is a recertification of a piece of equipment that was prescribed a while ago, then the recertification date needs to be transmitted here. Many claims are denied because the wrong date is transmitted in this field. The date can go over as yyyymmdd or mmddyyyy, depending on the requirements of the carrier.

    GD0 field 40, position 159, is the certification on file indicator. All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with

    Life After Med School
    Congratulations. Med school is finally in the past. You graduated with an MD and you’re ready for the next step: residency.After medical school, the average graduate spends two to eight years in residency. This is the time to further your training and eventually become licensed to practice. Now that you’ve chosen your specialty, here are some tips to get you throug
    the CMN. Many people have a problem with this date as it can change. If this CMN is the initial certification, as designated by that field, then the original date of the CMN is transmitted here. If however, this is a recertification of a piece of equipment that was prescribed a while ago, then the recertification date needs to be transmitted here. Many claims are denied because the wrong date is transmitted in this field. The date can go over as yyyymmdd or mmddyyyy, depending on the requirements of the carrier.

    GD0 field 40, position 159, is the certification on file indicator. All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with

    Franchise Registration States like Illinois Damage the Franchise Industry Severely
    Have you ever considered the damage that state regulators cause to the business world? Well, consider a hostile state like Illinois to the business community. They say that they help the consumer or investor who buys a franchise; pure poppycock. They say they have seen Franchising Companies commit Fraud in disclosure documents; utter BS.In fact their regulations ar
    All CMNs, even though they can be transmitted electronically, have to have a paper file copy. This is required by law. So it may seem strange that this field would even exist. The reason it does is that the claim can be electronically transmitted before the actual CMN is on file. This allows for speedy claims processing. However, if audited and no CMN is found to be on file for this patient, serious repercussions will be felt by all parties involved. This field is either filled with a Y or N.

    In our next installment of medical billing, we'll cover the GD0 record beginning with field 41.

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