Archive for the Week of March 17, 2006

Archive for the Week of March 17, 2006

Welcome to the medical billing blog archive for the week of March 17, 2006.

Here you will find links to every article added to the Outsource Management Group web site during the week of March 17, 2006.

You can browse this week's archives by clicking the "More" button from any of the excerpts below.

Specified Covered Outpatient Drug Payments Make GAO Unhappy

Right now the Government Accountability Office is not a medical billing staff member’s best friend. The Centers for Medicare & Medicaid Services are going head to head with the Government Accountability Office in regards to the new medical billing outpatient prospective payment system (OPPS). The Government Accountability Office claims that the Centers for Medicare & Medicaid Services has overestimated payments for prescription drugs and radio pharmaceuticals. They claim that the amount Medicare will pay for medical billing is more than it will cost hospitals to acquire these drugs. The Centers for Medicare & Medicaid Services are planning to use a system called SCOD (specified covered outpatient drugs) to calculate the

Don’t Lose Money With Radiation Medical Billing

You could be losing money on radiation treatment therapy if you don’t do your medical billing correctly. Did you know that you could lose out on over $100 if you miss one radiation therapy reimbursement. A great medical billing skill is knowing how to maximize your revenue with radiation therapy. Radiation is a type of treatment that is frequently done two or even three times a day. It is a perfectly acceptable medical billing practice to bill separately for radiation completed on the same day. It is important, however, to pay attention to the medical billing requirements set forth by the payers. Many payers require a certain amount of time

Ways to Protect Medical Billing PHI

Transcription is a large factor in medical billing. A lot of medical transcription is hired outside of physician’s office. This can leave a lot of room for internet criminals to steal valuable PHI information used in your medical billing. Protecting your patient’s PHI not only protects your practice, but also protects their identity. There are several steps you can take to protect your patients’ medical billing PHI. The ability for criminals to obtain PHI has increased over the recent years and made it necessary to install security measures. You may know what your medical billing security practices are, but you must also know what those practices are for your transcription

2006 Medical Billing Quality of Care

Quality of care will be of the utmost importance to medical billing in the year 2006. Now, more than ever, the Centers for Medicare and Medicaid services have decided to focus reimbursement on healthcare quality. There are two ways in which CMS is trying to improve medical billing and quality of care in nursing homes. Recently The Centers for Medicare & Medicaid Services has introduced a new website called STAR (Setting Targets, Achieving Results). This website focuses not only on medical billing, but also the quality of care in nursing homes. It aids nursing homes in sharing publicly reported data and has many quality improvement tools included. The web address

Medical Billing Mandates Increase Premiums

State regulated medical billing mandates may be beneficial to some people, but they drive the premium costs higher. A Heritage Foundation report was conducted that had significant information for states. It suggested that the more health coverage mandates a state had, the higher the individual premiums. Medical billing mandates that are meant to help citizens may in fact be hindering them. In the Heritage Foundation medical billing report, four variations of state regulations were measured: health plan liability, mandated benefits, direct access to specialists, and provider due process. It was found that on average, medical billing premiums rose $26.72 per month in states with health plan liability mandates. In states

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