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Transactions Overview | CMS

    https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Transactions/TransactionsOverview
    Standards for Transactions. Under HIPAA, HHS adopted certain standard transactions for the electronic exchange of health care data. These transactions include: Payment and …

Code Sets Overview | CMS - Centers for Medicare

    https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Code-Sets
    They inform diverse health care functions, from billing to tracking public health. HIPAA Code Sets. Code sets outlined in HIPAA regulations include: ICD-10 – …

Electronic Billing & EDI Transactions | CMS

    https://www.cms.gov/Medicare/Billing/ElectronicBillingEDITrans
    Electronic Billing & EDI Transactions. This section contains information on: Our Electronic Data Interchange (EDI) transaction and corresponding paper claims …

CPT Codes: What They Are and Uses

    https://www.verywellhealth.com/what-are-cpt-codes-2614950
    Current Procedural Terminology (CPT) codes are numbers assigned to each task and service that you can get from a healthcare provider. For example, a routine check-up or a lab test …

Health Care Payment and Remittance Advice | CMS

    https://www.cms.gov/Medicare/Billing/ElectronicBillingEDITrans/Remittance
    Claim Adjustment Group Code (Group Code) Claim Adjustment Reason Code (CARC) Remittance Advice Remark Code (RARC) Group Codes assign financial …

3.03: The Medical Billing Process

    https://www.medicalbillingandcoding.org/billing-process/
    Each claim contains the patient information (their demographic info and medical history) and the procedures performed (in CPT or HCPCS codes). Each of these procedures is paired …

Medical Billing Discussion: Types of …

    https://medicalbillingservicereview.com/types-of-service-codes/
    Transaction Code List – General Type of Service: 01 -Medical Care 02 -Surgery 03 -Consultation 04 -Diagnostic X-Ray 05 -Diagnostic Lab 06 -Radiation Therapy 07 -Anesthesia 08 -Surgical …

List of CPT Codes in Medical Billing (2023)

    https://medicalbillingrcm.com/list-of-cpt-codes-in-medical-billing-and-coding/
    Mar 27, 2021

List of Revenue Codes for Medical Billing …

    https://medicalbillingrcm.com/list-of-revenue-codes-for-medical-billing/
    Feb 13, 2021

Coordination of Benefits (COB) | CMS

    https://www.cms.gov/Medicare/Billing/ElectronicBillingEDITrans/COB
    Coordination of Benefits (COB) The X12 837 HIPAA Technical Reports Type 3 (TR3s) adopted as the national standard for provider electronic submission of health …



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