|
|
|
|
 |
|
Coding Info |
|
 |
|
|
Suggestions and |
|
Procedures |
|
|
|
|
FAQs |
|
|
|
|
|
Suggestions and |
|
Procedures |
|
|
|
|
Checklist |
|
|
|
|
|
|
|
|
Insurance Overview |
|
|
|
|
CORE Hotline |
|
|
|
|
Patient Assistance |
|
Program |
|
|
|
|
Glossary |
|
|
|
|
|
How To Register |
|
|
|
Contact Us |
|
|
|
|
|
|
 |
|
|
|
 |
| Reimbursement | Suggestions and Procedures |
 |
|
|
|
Make sure the diagnosis codes used for billing match the healthcare provider’s notes and pathology, and that the primary and secondary codes have not been reversed in error. Find out more in Coding Information.
| Follow proper billing procedures |
Use the correct billing unit and bill for the amount of TRISENOX® (arsenic trioxide) injection administered. Review the patient’s payor guidelines and follow proper billing procedures. Include all required information.
| Understand payor guidelines |
Obtain prior authorization requirements and PCP referrals when necessary. Determine if the payor will cover treatment provided only in a particular setting. Keep up to date on payor policy changes and effective dates. Payor websites and newsletters are often good sources for this information.
| Use the correct Provider and Patient ID numbers |
| Submit all required supporting documents with the claim |
Provide the healthcare provider name, provider ID#, patient name, payor policy number, date of service, and any other appropriate identifying information on each document.
| Submit claims and documents by the required deadlines |
If payment is not received within 30 to 45 days after submitting the claim, follow up with the payor.
| Keep a copy of everything you send |
|
|
|
|