Archive for The Month of September, 2005

Archive for the Month of September, 2005

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

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

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

How to Recoup Additional Pay With Central Venous Access Codes

Medical Billing Expertise: How to Recoup Additional Pay With CVAs When performing medical billing for central venous access services there are additional ways physicians can recoup more payment. The CPT codes 76937 and 75998 can be used in medical billing to provide extra CVA payment. If a physician performs an ultrasound guided procedure, the code 76937 will give additional money. This code means: ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry. This means 76937 can be billed separately from the CVA placement code. One thing to note is that this code is only

Medical Billing Codes 70551-70553

Using Medical Billing Codes 70551-70553 for MRI and IAC Properly There are many times in medical billing when a patient receives both an IAC and brain MRI. The question is, can the medical biller be reimbursed for both of these services separately? If the medical billing personnel asked the American Medical Association this question, the answer would be simple. They would say that you can absolutely get separately reimbursed for an IAC and brain MRI in the same session. Realistically, however, this is not exactly true. The requirement to code for both x-rays is that they need two separate and distinct exams. Each exam is required to have distinct findings.

Correct Use of Modifier -59 In Your Medical Billing

Correct Use of Modifier -59 In Your Medical Billing Many medical billing require modifiers to justify and explain why a certain service was done or billed. Modifier 59 many times is forgotten or misused. In order to receive correct payment when medically billing, the correct use of modifier 59 necessary. When medically billing, modifier 59 means that a separate service has been performed on the same day as another , but that they are completely separate and should get separate reimbursement. This could mean a different patient visit, surgery, separate lesion, different site, or a completely separate injury. Here is an example of correct medical billing of modifier 59. If

Documenting E/M On Your Medical Billing

Guidelines for Documenting E/M On Your Medical Billing Evaluation and management services are some of the most common charges medical billing companies charge today. Since evaluation and management claims are so abundant, it is important to methodically document the occurrences. There are several documentation guidelines for E&M that can improve your medical billing accuracy. The first guideline, and possibly them most important, is insuring your ICD-9 codes and CPT codes correctly match with the documentation in the medical records. This may seem obvious. However, there have been many times when medical billing has been performed incorrectly in this manner. Medical records are very important in substantiating procedures and tests billed.

Medical Billing and EOB

Medical Billing and EOB The goal of any medical billing firm is to receive a correct check and correct explanation of benefits (EOB) from an insurance company. Sometimes this is easier said then done. Many times the EOB goes one place and the check goes another. What is the easiest and most productive method for posting payments for medical billing? The first method is an example of a practice that does their own medical billing. In this case, it is beneficial to make sure a check and EOB are sent to the practice and a duplicate is sent to the patient. This prevents future problems with remainders owed. It also

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