Archive for The Day of August 25th, 2005

Archive for the Day of August 25th, 2005

Welcome to the medical billing blog archive for the day of August 25th, 2005.

Here you will find links to every article added to the Outsource Management Group web site during August 25th, 2005.

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

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

Electronic Claims Processing

Electronic Claims Processing One of the reasons that outsourcing your medical billing is so efficient, is because most medical billing firms use electronic claims submissions (ECS). Studies show that only about 40% of medical billing claims are electronically processed when submitted directly by the physician’s offices. In 2003 over 6 billion insurance claims were filed, of that number, around 500 million were Medicare claims. Medicare pays two weeks faster if claims are filed electronically. They offer up this incentive to entice that other 60% of practices that are still filing claims manually with a CMS 1500 form to submit those claims electronically. Another sobering reason to have your claims processed

Are Your Medical Billing Claims Being Denied?

Are Your Medical Billing Claims Being Denied? If you’re a physician and your medical claims are being denied, are you getting reasons why or are you simply eating the charges as a consequence of doing business? In the realm of things, some claims will be denied legitimately, but far fewer medical billing claims than you think will be denied in this manner if you outsource your billing. If you are still doing your own coding and billing, this is the number one reason for claims being denied by the carrier. Most practices are too busy to keep up with the coding changes that can happen many times in one year.

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