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.

Medical Billing For Multiple Same Day ED Visits

Medical Billing For Multiple Same Day ED Visits Double-dipping is a medical billing myth that is costing many physicians money each year. This double-dipping myth directly relates to a patient having two emergency department visits on the same day. Here I will try to discredit that medical billing myth. The medical billing double-dipping myth states that one physician statement should account for two elements. In the case of an emergency department visit, it means that one physician statement should apply towards two visits on the same day, even if they were at separate times. This should not be the case. If a patient is seen in the emergency department on

What Is The Difference Between Modifier -25 and -57 When Filing Medicare Medical Billing Claims?

What Is The Difference Between Modifier -25 and -57 When Filing Medicare Medical Billing Claims? Modifier 25 and modifier 57 are sometimes difficult to differentiate between when doing medical billing. It is important to understand the differences between these two modifiers to ensure correct medical billing practices. In medical billing Modifier 25 means when doing an evaluation and management, a physician decides a MINOR surgical procedure needs to be done on the same day. It means the evaluation and management should be paid for separately and not bundled with the surgical reimbursement. In medical billing, Modifier 57 means when doing an evaluation and management, a physician decides a MAJOR surgical

What is a Late Bill Override Date?

A term you will hear from time to time, especially if your practice is still filing your own claims and you haven’t outsourced your medical billing yet, is LBOD. LBOD stands for Late Bill Override Date and it’s fairly cut and dried. Basically the provider uses the LBOD to document compliance with timely filing requirements which insures that you get reimbursed for services rendered. Generally, you should only use the LBOD if you are filing a claim with dates of service older than 120 days and you must have all documentation on file for these addendums to your medical billing claims. The LBOD is permissible to use on either paper

Code Those Nursing Home Visits Correctly

Code Those Nursing Home Visits Correctly Places of service have brought on many headaches when medically billing claims. The place of service, nursing home, is probably the most confusing location. There are certain guidelines when medically billing to ensure nursing home locations are coded correctly. The biggest question that comes up when dealing with nursing homes is whether it should be coded as an outpatient facility or inpatient facility when medically billing for consultations. The codes 99241 through 99245 are outpatient consultation codes reserved for the following locations: office, hospital clinic, facility providing custodial services, emergency room, observation room in the hospital, home, or nursing home. The codes 99251 through

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

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