Transcription of ITC - 2021 Provider Billing Manual - Iowa Total Care
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1 | Page 2021 provider billing manual 2020 Iowa Total Care. All rights reserved. 012020 2 | Page .. INTRODUCTORY Billing INFORMATION9 Billing Instructions .. 9 .. General Billing Guidelines9 Claim Forms .. 10 Billing Codes .. 11 CPT Category II Codes .. 11 Encounters versus Claim .. 11 Clean Claim Definition .. 12 Non-Clean Claim Definition .. 12 Rejection versus Denial .. 12 Claim Payment .. 13 Contact Information .. 13 CLAIMS PAYMENT INFORMATION .. 14 Systems Used to Pay Claims .. 14 Amisys .. 14 DST Pricer .. 14 Rate Manager .. 14 Electronic Claims Submission .. 15 Electronic Funds Transfers (EFT) and Electronic Remittance Advices (ERA) . 17 Common Causes of Claims Processing Delays and Denials .. 18 Common Causes of Up Front Rejections.
Billing Codes ..... 11 CPT® Category II Codes ... Providers should purchase these from a supplier of their choice. All paper claim forms are required …
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