Archive for the Week of May 5, 2006

Archive for the Week of May 5, 2006

Welcome to the medical billing blog archive for the week of May 5, 2006.

Here you will find links to every article added to the Outsource Management Group web site during the week of May 5, 2006.

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

Problem Free Medical Billing

Did you know that you could have absolutely seamless medical billing claims? No more hassles with keeping up with the changes in coding and no more keeping up with the paper chase that a lot of filing medical billing claims has become. All you have to do is outsource your medical billing. Your medical billing partner will take care of the making sure there is a logical flow of billing on your medical billing claims, as well as following up to make sure that you get the maximum reimbursement of all your claims. Many physicians unknowingly give away thousands upon thousands of dollars each year through undercoding their medical billing

Will Outsourcing Get My Billing Reimbursements Faster?

It doesn’t sound logical. Sending your claims out of your office to someone else would actually speed up the process of getting reimbursed, but letting someone else handle your medical billing and coding really does speed up the process. Think about how often your in-house staff gets interrupted, how often the crisis du jour arises and day to day managing of the office prevents them from filing, double checking accuracy, and following up on your submitted claims. Time is also lost re-submitting claims when they get kicked back for the smallest of errors in coding. As you know, Medicare is extremely strict as far as coding and re-submissions can seriously

Reporting Observation Medical Billing Claims

You know the basics for reporting observation services in the ED. However, there are some common coding mistakes that can be costing you in the form or partial or rejected services. Don’t worry about the location of the services for observation. Observation is a service and not necessarily a physical place within the ED where the patient can stay. Another way to insure full reimbursement is to make sure that you have a specific written order from the physician for observation. Medical documentation should include time notes from both the doctor and nurses. Avoid using codes 99228-99220 when reporting observation. It is used to determine whether or not a patient

Correct Multiple Procedure Medical Billing

When multiple procedures are performed, you do not have to append modifier 51 for each group of procedures. The CPT manual designates modifier 51 (Multiple procedures) exempt codes with a “circle with a slash” symbol to the left of the code for the services rendered. There is usually a complete listing of modifier 51 exempt codes in an appendix. The list is “a summary of CPT codes that are exempt from the use of modifier 51 but have NOT been designated as CPT add-on procedures/services,” according to CPT 2006. As an example look up a code in your CPT. Arterial catheterization code 36620 (Arterial catheterization or cannulation for sampling, monitoring

Using the Proper IV Codes

When you have a medical billing claim using codes for infusion codes 90760 and 90761, which are for Intravenous infusion, hydration; initial, up to one hour and each additional hour, up to 8 hours [list separately in addition to code for primary procedure] respectively are used for physician billing in general according to the new CPT 2006 release. Make sure of these IV codes in your medical billing if they accurately describe the service performed and you will reap the rewards in your reimbursements. Be sure to check out the individual carrier’s policies for paying on these codings and be aware that Medicare has specific requirements to meet prior to

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