Archive for the Week of August 11, 2006
Archive for the Week of August 11, 2006
Welcome to the medical billing blog archive for the week of August 11, 2006.
Here you will find links to every article added to the Outsource Management Group web site during the week of August 11, 2006.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Why Use OMG?
Medical billing is a complex process that if not done correctly, can lead to a loss of revenue and underpayment on your claims. Outsourcing your medical billing can help eliminate some of these losses. There are several benefits to using a medical billing company. Studies have shown that nearly one-third of all medical services are never reimbursed to the health care provider. This is due to poor follow-up to insurance companies and to patients themselves for medical practices. Too often, medical office personnel are stretched to their limits. They are responsible for medical billing, advertising, scheduling, and customer service. Medical billing companies can alleviate some of this stress by taking …
Real World Rehabilitation Medical Billing Reimbursements
The medical billing world has a new way of performing therapy for patients. Baton Rouge General Medical Center is changing the face of rehab therapy. The new rehab facility, “Around Town”, is helping patients adapt to the more practical aspects of life. While traditional therapy helps patients move their bodies again once again, this new therapy helps them adjust to real life situations. Payers may see a lot more of these types of medical billings come through their offices. The “Around Town” facility looks like the inside of a house or a home. It is equipped with a working kitchen, bedroom, living room with a chair and couch, and a …
Prior Authorization Can Get More Medical Billing Claims Paid
More and more often, medical billing claims that include saphenous vein ablation are getting very close scrutiny by carriers before reimbursements will be allotted. One of the biggest red flags is that most payers, including Medicare, will only cover payment for a very limited number of specific varicose-vein diagnoses. Samplings of the commonly and correctly reported procedures covered are as follows: * 454.0–Varicose veins of lower extremities; with ulcer* 454.1–… with inflammation* 454.2–… with ulcer and inflammation* 454.8–… with other complications. However, when these are reported correctly, you should have detailed documentation to why the procedure was needed and documentation of the failure of non-surgical treatments that were used previously …
Pregnant Patient Transfer Easy On Your Medical Billing
Pregnancy medical billing is a rather straightforward process. That is, unless the patient transfers practices in the middle of her prenatal care. Pregnancy transfers scare many medical billing personnel, however if you can remember three tips, maternity transfers will be a snap. How you do medical billing for a maternity transfer all depends on how many times she was seen in the clinic. If she was seen 1-3 times you always want to code those visits as evaluation and management visits. One thing to keep in mind is that the first antipartum visit is not as straightforward as you may think. Always keep track of the level of service (level …
Universal Injection Code
As of January 1, 2006; changes were made regarding therapeutic and antibiotic injections medical billing claims that will affect your medical billing claims if you don’t update your filing methods. In the past there were separate injection administration codes for a therapeutic, prophylactic, diagnostic injection and an antibiotic injection. Instead of choosing to report administration of a prophylactic Synagis treatment (90378) with a 90782 (Therapeutic, prophylactic or diagnostic injection , you now simply use 90772 as a universal injection code. On E/M coding, you will generally still need to attach modifier 25 to insure you’re your claim is handled. Modifier 25 states that this procedure or other service was performed …
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