Archive for The Day of September 11th, 2005
Archive for the Day of September 11th, 2005
Welcome to the medical billing blog archive for the day of September 11th, 2005.
Here you will find links to every article added to the Outsource Management Group web site during September 11th, 2005.
You can browse this day's archives by clicking the "More" button from any of the excerpts below.
Emergency Medicine Medical Billing
Emergency Medicine Medical Billing Emergencies can not be planned and they can’t be scheduled. There are no preapprovals and a lot of times documentation is sparse and these are among the hardest medical billing claims to get paid. Emergency procedures are performed in a fast paced environment and there can be several people performing multiple duties and not all those procedures get noted on the documentation. When it comes time to compile the medical billing form. The coding will have to considered carefully. You obviously can’t have certain procedures done without others being included. For example there may not be the suturing procedure listed as it might have gotten missed …
Reasons For Medical Billing Reversals
Reasons For Medical Billing Reversals Reversals can happen for a myriad of legitimate and not so legitimate reasons. In a recent study, the top reasons for medical billing reversals are as follows: 1- Incorrect payable diagnoses codes, the biggest offenders in this category were: Modifier 59 – distinct procedural serviceModifier 76 – repeat procedure by same physician Modifier 24 – unrelated evaluation and management service by same physician during postoperative periodModifier 25 – significant separately identifiable evaluation and management service by same physician on the day of a procedure. 2-Provider Billing Errors – As long as medical billing is coded by humans, there will be errors, that’s just a fact …
Payers Treat Group Practices as 1 Provider
Payers Treat Group Practices as 1 Provider Medical billing rules can get hazy when dealing with group practices. It is difficult to determine if physicians within a group should bill separately for follow up care if another physician performed the actual surgery. There are rules to follow in this type of situation that make medical billing easier to understand. When there is a group of physicians in the same practice, usually one does surgery. With surgery there is usually follow up care that is bundled in the CPT code for medical billing. This means that surgeons cannot bill separately for follow up care and for the surgery. This also goes …
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