Archive for the Week of March 24, 2006
Archive for the Week of March 24, 2006
Welcome to the medical billing blog archive for the week of March 24, 2006.
Here you will find links to every article added to the Outsource Management Group web site during the week of March 24, 2006.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Medical Billing for High Risk Pap
The medical billing staff members in the OB-GYN office have their work cut out for them. There are so many rules and regulations about procedures specific to this specialty. The Pap smear is one area that can get sticky. Knowing how to correctly do medical billing for a high risk pap smear is an important skill. When you are doing medical billing for a Medicare patient, a high risk pap smear must meet to criteria. First, the patient must have over five sexual partners, or have had sex before she turned 16. Only in these instances can you do medical billing for a high risk, screening pap smear. Many medical …
Medical Billing Reimbursement Increase for Screening Exam
The Welcome to Medicare screening exams offer more medical billing reimbursements for medical practices across the country. Currently, if the primary care physician specifically orders any radiology, those tests are chargeable separate from the exam. Make sure you follow Medicare screening rules to ensure you have proper reimbursement. Typical radiological studies that may be ordered for the Welcome to Medicare exam include a bone mass measurement 76075 (Dual energy x-ray absorptiometry, bone density study, one or more sites; axial skeleton) and a mammogram 76092 ( screening mammography, bilateral two-view film study of each breast). When you use these medical billing current procedural terminology codes, be sure to use the correct …
Paying For Performance May Improve The Quality of Medical Care
P4P is a revolutionary method of figuring medical billing payments. The Centers for Medicare & Medicaid Services has announced that the method of “paying for performance” works to improve the quality of a patient’s care. The current medical billing demonstration that took place had encouraging results for CMS. The areas in which the pay for performance method has been shown to improve the most care is with pneumonia, hip and knee replacements, and heart care. These improvements of care were shown in the first year of the trial run. Only certain hospitals took part in this medical billing study. In the second year of the trial, the quality of care …
Ohio’s Crackdown on Medical Billing Fraud
Recently, several Ohio home health providers have been caught red handed in medical billing fraud. There is nothing worse than medical billing fraud. It costs the United States citizens billions of dollars each and every year. To prevent this fraud, the state of Ohio created a task force to investigate Medicaid providers. This task force found four separate incidences of medical billing fraud. One of the main cases found was with Community Home Health Services Inc and Kevin Dennis. Apparently, this organization billed Medicaid over $32 million dollars in fraudulent payments between June of 2000 and May of 2005. Kevin Dennis used $650,000 of this fraudulent medical billing for his …
A Light at the End of the Billing Tunnel for Oncologists
For quite a while, medical billing has become much like a nightmare for oncology practices across the country. Cancer treatment can be a very expensive service for patients. Some people can’t afford the Medicare part B drug copay. Oncology practices have been forced to sacrifice their own medical billing to help needy patients. When a patient can’t make a payment, usually the answer is simple, don’t provide them services. However, when it comes to cancer treatment, it is nearly impossible to turn down a patient for drugs. Many oncologists have been waiving the Medicare part B copay for their patients. This means they get less for medical billing reimbursement. MedPAC, …
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