Archive for the Week of October 8, 2005
Archive for the Week of October 8, 2005
Welcome to the medical billing blog archive for the week of October 8, 2005.
Here you will find links to every article added to the Outsource Management Group web site during the week of October 8, 2005.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Outsourcing Your Medical Billing In Georgia
Outsourcing Your Medical Billing In Georgia You have a busy medical practice in Georgia and your staff is pushed the limit just servicing the phones and the patients. Forget about submitting your medical billing claims in a timely manner, and when your claims get rejected from time to time because your staff doesn’t have time to keep up with all the coding changes that happen…well you get the idea. So, now you’re thinking about outsourcing your medical billing to an outside source. That’s a big decision if you’ve never done it before. You may have even heard horror stories from other physicians who have outsourced their medical billing with not …
Medicare Still Unsure On Coding For Prostrate
Medicare Still Unsure On Coding For Prostate Screening The Medicare medical billing dilemma about prostate screening coverage is still a heated issue. Almost all preventative care in the past was not covered by Medicare. Recently, they decided to allow billing for medical prostate cancer screening charges. The problem is that the Centers for Medicare & Medicaid Services never removed V76.44 (Special screening for malignant neoplasms of the prostate) from the non-covered codes list. This medical billing problems has brought much confusion to the medical world. Many medical billing personnel have become confused by this conflicting new rule. As the Centers for Medicare & Medicaid Services have it now, the current …
Watch Your Upper Payment Limits Or You Could Be Responsible For Refunds
When receiving medical payments after billing, it is important to make sure the upper payment limit is accurate. If the upper payment limit is too high, you may end up having to refund Medicaid or Medicare. North Carolina is currently going through this medical billing upper payment limit problem. In North Carolina, the Office of Inspector General did an audit and found that in 2003, the state was miscalculating inpatient payments. Apparently, when doing medical billing, they began figuring the upper payment limit by taking Medicaid charges changed to costs. They were supposed to figure the medical billing limit by using the hospital’s recent cost reports. The result was a …
The Three R’s Of Radiology Medical Coding
The Three R’s Of Radiology Medical Coding When performing medical billing for radiology it is important to remember the three R’s. To ensure your radiology claims will be processed accurately and without delay, there are three elements that should be included with your medical billing: request, render, report. The first medical billing R for radiology is request. This means a physician has requested the opinion of a radiologist. This must be a formal request and needs to be written down in the patient’s record. If this is in a hospital setting, the request can be in the medical record, progress note, or a completely separate written request. The second element …
Proper Coding Of Arterial Stent Avoids Audits
Proper Coding Of Arterial Stent Avoids Audits A medical billing audit on arterial stents could highlight your coding errors. It is important when billing to provide the most accurate and up to date medical coding possible. To ensure all medical payments are correct, proper arterial stent billing is necessary. Recently, the HHS Office of Inspector General did an audit for claims processed in 2002 for arterial stents. These medical billing claims were all from Texas providers processed by the contractor called Trailblazer Health Enterprises, LLC. Out of seventy two arterial stent bills, twenty of them were incorrectly processed by Medicare. This billing resulted in a medical over payment of over …
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