Bro great job and you provide most valuable and important things that most helpful for clarify, clear doubts and useful for interviews.

@PKRVibesCareerGrowth

4 ай бұрын

Thank you and All The Best👍

Gw and Gv both can be used actually its depend upon the when patient enrolled in hospice and services rendered which are related to diagnosis then Gw and not related to diagnosis Gv can be used.. am i correct bro..!

@PKRVibesCareerGrowth

4 ай бұрын

Yes your correct…Superb bro 👌👌

Thank you so much bro best questions for the interview preparation!

@PKRVibesCareerGrowth

4 ай бұрын

Welcome you 🤝

Could you please explain about medicare and Medicaid claims

@PKRVibesCareerGrowth

4 ай бұрын

Sure👍

GW modifier

GW modifier sir

Hi Anna, koncham claim forms gurinchi chepandi

@PKRVibesCareerGrowth

4 ай бұрын

Sure I will do Claim Form series.

Which is best for our carrier Credentialing or Ar caller? I have 6 months in credentialing and 6 months in AR deniel management. Please suggest from your experience

@PKRVibesCareerGrowth

3 ай бұрын

AR calling

can you do other scenarios like for ortho procedures and home health?

@PKRVibesCareerGrowth

16 күн бұрын

@@defeatedgoliath sure I do.

@defeatedgoliath

16 күн бұрын

@@PKRVibesCareerGrowth these videos are very helpful.

@PKRVibesCareerGrowth

16 күн бұрын

@@defeatedgoliath got it. Thank you

While we bill the claim to patient if guarantor DOB is missing in that case what we have to do?

@PKRVibesCareerGrowth

4 ай бұрын

Just bill patient in case of any missing/invalid patient information.

@sachinkumar-by9hw

4 ай бұрын

​@@PKRVibesCareerGrowthHi Sir, we can not bill to patient in every case. If claim denied for missing member I'd then we can found the correct member I'd with SSN, member first and last name and DOB.

@PKRVibesCareerGrowth

4 ай бұрын

@sachinkumar-by9hw Yes your right.

Only medicare covered hospice services. If member have medicare part B coverage then we will use GW modifier and rebilled the claim to medicare .

@PKRVibesCareerGrowth

4 ай бұрын

Yes we can appended Modifier GW, explains that billed service not related to Hospice but Provider is related/employee of Hospice.

While checking hospice name in Google we get hospice npi using that npi in nppes registry we get mailing address so can we bill the claim to that billing adress Medicaid dnd E/M codes while patient is in hospice r is any particular cpt code avalible for hospice for medicaid?

@PKRVibesCareerGrowth

4 ай бұрын

It’s not like any particular CPT code. In this case as a AR caller you need to transfer the claims to internal coding team. So that they will appended appropriate Modifier based on your procedure and On Hospice details.

@ssd12397

4 ай бұрын

@@PKRVibesCareerGrowth Thanks

Bro tell us a difference between of Offset and Refund

@PKRVibesCareerGrowth

5 күн бұрын

Already video available in our channel. Kindly explore

Duplicate DENIAL LINK given below................... kzread.info/dash/bejne/foiNxI-Qf9O-qc4.html And also explore the below links for more info related to Interview Q & A........ AR CALLING INTERVIEW Q & A (PART 1) kzread.info/dash/bejne/mm2d06aOlZm0dJM.html AR CALLING INTERVIEW Q & A (PART 2) kzread.info/dash/bejne/gXmVlK-IidbMiKg.html

If patient is enrolled in hospice patient has only medicaid, medicaid dnd claim as patient is enrolled in hospice, so i called to medicaid get hospice information can we bill to hospice is any payor id avalible for Hospice how to submit the claim to hospice, without payor id how to submit the claim

@PKRVibesCareerGrowth

4 ай бұрын

Are you sure payer, Is Traditional Medicare or State Medicaid?

@ssd12397

4 ай бұрын

@@PKRVibesCareerGrowth state Medicaid

@PKRVibesCareerGrowth

4 ай бұрын

Okay Run eligibility for denied payer (Medicaid) to verify the any Hospice covered details. If hospice details not available on your eligibility page, you need to call to verify complete Hospice details and need to bill claim to Respective Hospice care. Please note that if payer ID not found , submit the claims through Paper.

@ssd12397

4 ай бұрын

@@PKRVibesCareerGrowth Thank you

Medicare modifier is GV for Hospice

@PKRVibesCareerGrowth

5 күн бұрын

GW

@lakshmidevireddy9335

5 күн бұрын

Thank you sir

Who pay as primary medicare or medigap? Kya Medigap yahi hote h like bcbs medicare UHC medicare

@PKRVibesCareerGrowth

11 күн бұрын

@@nehashah9541 Medicare is primary Payer who pays as primary. Medigap (also called Medicare supplement Plan) is always secondary payer to patient who has Medicare coverage. Medigap always supplements the gaps(Copayments or Coinsurance). Kindly note Bcbs Medicare or UHC Medicare are Medicare Advantage Plans but not Medigaps.

@nehashah9541

6 күн бұрын

@@PKRVibesCareerGrowth thank you so much. Better understand now

@nehashah9541

6 күн бұрын

@@PKRVibesCareerGrowth one question then if patient have BCBs Medicare and Medicare part a and B in that scenerio who pay as a primary

@PKRVibesCareerGrowth

6 күн бұрын

Bcbs Medicare

If the claim got dnd for referral missing while chked in insurance they said no referral found, patient has hmo plan so we get pcp name and phone # and finish the call Is any possible to get referral# in facility to get connect with medical records team?

@PKRVibesCareerGrowth

4 ай бұрын

Good question: Try your best to connect and get. Please note that if not possible to get all your sources, then you will need to contact patient or bill claim to patient for referral missing scenarios

@ssd12397

4 ай бұрын

@@PKRVibesCareerGrowth Thanks bro

@ssd12397

4 ай бұрын

@@PKRVibesCareerGrowth Thanks

GV modifier

@ssd12397

4 ай бұрын

Is it correct answer?

Please Call for AR caller job I am HR from ACN healthcare

@gajagatlakalpana9407

2 ай бұрын

Please provide your contact details

GV mod