Archive for The Month of August, 2005

Archive for the Month of August, 2005

Welcome to the medical billing blog archive for the month of August, 2005.

Here you will find links to every article added to the Outsource Management Group web site during the month of August, 2005.

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

CPT Code 99211 In Medical Billing

CPT Code 99211 In Medical Billing Understanding when to use CPT code 99211 on your medical billing can boost your practice’s revenue and improve documentation which will result in greater returns on your reimbursements. Qualifying for 99211 service on your medical billing is not too hard, the patient simply must be established, and an E/M service must be provided. Additionally, the service must be separate from other services performed on the same date and neither the presence of a physician nor any documentation of key components are required as part of the documentation for the medical billing. Another use for Code 99211 is patient education, simple rechecks, medication reviews and

By: Melissa Clark, CCS-P, RT - CEO
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ICD-9 Coding Accuracy In Your Medical Billing

ICD-9 Coding Accuracy In Your Medical Billing When you talk about the procedures you do and services you perform for your patients, you have words to describe what you did: patient eval, Pap smear, sinusitis. When third-party payers examine and refer to the work you do, it’s simply broken down into numbers. Almost every medical condition, service and supply can be identified by a numeric code, primarily because Medicare and other third-party payers require numeric coding on claim forms. They set the payment rules, based on these codes so the proper coding must be used so your practice can be reimbursed for your services. It’s not easy to being fluent

By: Melissa Clark, CCS-P, RT - CEO
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Top Five Types of Service Most Frequently Appealed

Top Five Types of Service Most Frequently Appealed A recent study conducted by Medicare showed that the top five types of services submitted on medical billing forms for payment fell under the following five catagories. Evaluation and Management – 99200-99499;Pathology & Laboratory – 80000-89399,G0001,P0000-P9999;Radiology – 70000-79999, G0130-G0133, G0236;Ambulance – A0000-A0999;Chiropractic Manipulative Treatment – 98940-98943.Most of these claims were submitted directly by physicians’ offices and not by medical billing firms. As you are aware, evaluation and management, pathology and laboratory and radiology services are all high volume procedures but with the levels frequency for these procedures the medical billing should be able to be more streamlined for most offices. Your medical

By: Melissa Clark, CCS-P, RT - CEO
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To Ask About Electronic Medical Records Software

Important Questions To Ask About Electronic Medical Records Software If you’re a private physician, you have probably looked at more electronic medical records (EMR) programs than you care to remember. When looking at EMRs there are a number of questions you should ask: What is the licensing of this product? Meaning do you have to pay every time you load it on a computer in your office; so you and your secretary and office manager can all handle billing?. Some companies have a site license for which you can put your EMR software on a number of PC’s in your office without restrictions on program users. Other software is sold

By: Melissa Clark, CCS-P, RT - CEO
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Changes In The Medical Billing World for July 2005

Changes In The Medical Billing World for July 2005 In July 2005, for many states, there was a 2% rate increase in Physical Therapy, Occupational Therapy and Speech/Language Pathology. As of July 1, 2005 the provider is responsible for submitting the correct charges for dates of service on or after July 1, 2005. If you have submitted medical billing claims before notification of this increase (if it applies in your state),you must submit an adjusted medical billing claim to receive the new rate. Additionally, Colorado Home Health and Home and Community Based Services Providers as of July 1, 2005, may no longer submit claims for HCBS services under their Home

By: Melissa Clark, CCS-P, RT - CEO
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4 Reasons To Outsource Your Medical Billing

4 Reasons To Outsource Your Medical Billing There are many good reasons that you can be given for outsourcing your medical billing to an outside source, there are 7 main points that will make you realize how much outsourcing your medical billing can save your practice in terms of not only your bottom line, but time as well. Reason #1 – Your staff will have more time to help run your practice.Your practice is busy, your staff doesn’t have time to stop and look up a claim status, double check coding on the medical billing forms or look up additional coding that may be necessary to outline procedures performed. Your

By: Melissa Clark, CCS-P, RT - CEO
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Have You Ever Thought Of Medical Billing As A Career?

Have You Ever Thought Of Medical Billing As A Career? If you’re looking for a change in your career or you want to jump back into the workforce with some training that will benefit you, becoming a Medical Billing Specialist is a fantastic way to accomplish your goals. As of 2004, The American Medical Association estimates that there are 1.2 million medical billing specialist in the workforce today, and more jobs are expected as the population continues to age. The most wonderful part of being a medical billing specialist is that you can work in a doctor’s office, a clinic or work with a company that handles medical billing for

By: Melissa Clark, CCS-P, RT - CEO
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Coding Radiology Services

Coding Radiology Services Medical coding for radiology services can be very tricky. Most radiology procedures, unless emergency, normally need pre-approvals in order to receive reimbursement for services rendered. Failure to get a pre-approval can result your medical billing claims for radiology being denied and rejected. Make sure you have a pre-approval on file before the services are rendered. Contact the carrier, note the date and time that you called. Get the first and last name of whomever approves the services. You may very well need this information in the future if your medical billing claim is denied. There are also CPT coding changes that happen often in the field of

By: Melissa Clark, CCS-P, RT - CEO
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