Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 20.5

The HCPCS Codes Training

Last amended: 2003Year: 2003Length: 214 wordsOfficial source
20.5 - The HCPCS Codes Training (Rev. 1, 10-01-03) HO-442.5 A large number of changes to HCPCS codes may necessitate the training of physician, supplier and provider personnel. If this is necessary, MACs must schedule the sessions in conjunction with the State medical records association or the State hospital or medical/physician associations. All MACs should schedule sessions in the major population centers of their service area. All MACs should use the following guidelines in planning training sessions. • Limit the training sessions to a manageable size to encourage questions and answers. • A/B MACs (B) should limit sessions to office staffs of homogenous medical specialties, e.g., do not include DME suppliers with staff from physicians’ offices. • Invite office personnel who complete bills and claims to attend. • In conducting the training, emphasize the use of the new HCPCS/CPT-4 manuals and the proper completion of the claim forms using the new codes. Be alert to a specific physician/supplier/provider having difficulty with HCPCS. Provide follow up training focused to the individual situation. Review and discuss specific billing problems over the phone or by mail. If many problems develop with a specific provider, the MAC schedules a visit to provide the specific training needed. Training is the A/B MACs (A)’s, (B)’s, (HHH)’s, and DME MACs’ responsibility.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 20.5: The HCPCS Codes Training | Justis AI