How to Interpret EOBs - AAPC Knowledge Center
Apr 3, 2023 · You should follow what’s on your explanation of benefits (EOB). Whether you can balance bill will depend on the remittance advice. For example, if it is a PR27 Expenses incurred after …
Billing Guidelines for Cost-Sharing Ministries - AAPC
Nov 1, 2025 · The procedure for billing Medicare remains the same. After Medicare pays, the patient will submit a Medicare explanation of benefits with the required forms to the cost-sharing ministry. If a …
Bundling Denials Got You Down? - AAPC Knowledge Center
Sep 2, 2025 · In the case of an unfounded bundling denial, use a structured approach to appeal: 1. Review the denial code – Check the explanation of benefits (EOB) or remittance advice to determine …
Clear Up EOB Patient Confusion With This Handy Advice : EOBs - AAPC
Jun 26, 2018 · An explanation if the payment was denied “Additional information regarding the patient’s benefits is often included as well, including the particulars of the plan, such as co-payments and …
Can You Answer These 5 EOB-Related Questions? : Quick Quiz - AAPC
Jul 24, 2018 · An explanation if the payment was denied “Additional information regarding the patient’s benefits is often included as well, including the particulars of the plan, such as co-payments and …
Using the -GA Modifier : Reader Question - AAPC
Nov 1, 2000 · When a claim has a -GA modifier and Medicare denies the claim, the patients explanation of benefits (EOB) states that the doctor may bill the patient. Without a -GA modifier, Medicare …
Wiki - Can a Provider remove a diagnosis code after receiving a ... - AAPC
May 15, 2024 · I handle billing for a small Physical Therapy office. We've been seeing a patient since January of this year, and all their visits have been paid without any issues. However, on April 12th, …
The Top 3 Reasons Your Claims Get Denied - AAPC
Apr 16, 2013 · 2. Coverage terminated Solution: Verify insurance benefits prior to services being rendered. 3. Services non-covered/Require prior authorization or precertification Solution: Here …
Get a Global Perspective on Orthopedic Fracture Care Coding
Oct 31, 2019 · Help physicians and patients understand exactly what it all means. One of the most asked questions coders get from patients at an orthopedic practice is: If the provider chooses to bill a …
4 Tips May Help With TEE Denial : Reader Question - AAPC
Aug 11, 2014 · Question: Any thoughts on why I got a denial for 93312, +93320, and +93325? California Subscriber Answer: The explanation of benefits should provide a clue, but here are some areas to …