Archive for The Month of October, 2005

Archive for the Month of October, 2005

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

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

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

Avoid Medicare Investigations On Medical Billing

Avoid Medicare Investigations Over Your Medical Billing Sending in medical billing claims to any government organization can be nerve racking, especially when submitting to Medicare. Medicare will do an audit on your claims if you show suspicious charges or activity that does not match your FACP. There is one main thing you can do to prevent this medical billing audit: provide adequate records. The Centers for Medicare & Medicaid Services is very hesitant to pay more administrative costs then you claim on your FACP. This is one organization in which you will probably not make any profit. It is important that your FACP report closely matches the Medicare charges you

Medicare Paid Out $900 million In False DME Claims

Medicare Paid Out $900 million In False DME Claims Large fraudulent medical billing claims are making the senate the Government Accountability Office antsy. Charles Grassley recently sent a letter to the Centers for Medicare & Medicaid Services with a daunting reality. CMS wasted $900 million dollars in incorrect durable medical equipment in 2004. For the survival of Medicare something has to change. This fraudulent medical billing needs to be taken care of. Apparently the 2004 incorrect medical billing dealt with orthotics, equipment, and prosthetics. It seems that the Centers for Medicare & Medicaid services did not keep a closer eye on their National Supplier Clearinghouse. This contractor’s job was to

When Medicare Computer Glitches Eat Your Claims

Medical Billing Dilemma – When Medicare Computer Glitches Eat Your Claims Keep your eyes peeled for medical billing mistakes coming from the Centers for Medicare & Medicaid Services. Medicare Part B carriers are changing software systems over to the Multi-Carrier System. Some carriers have already switched to the system, some are in the process of switching, and some will change in the near future. This medical billing switch has created a lot of needless headache for providers. During the Centers for Medicare & Medicaid Services software switch, there have been many medical billing claim errors. Errors that have occurred or could possibly occur in the future include: missing updated codes,

Using New CPT Codes Depends On Your Practice

Using New CPT Codes Depends On Your Practice Set-Up New pharmacy medical billing codes have raised many questions in the medical world. The use of these new current procedural terminology codes depends on the set-up of your practice and how the pharmacy services are administered. Medical billing constantly changes and these new CPT codes are just one example of that statement. There are three new medical billing codes for medication therapy management services. They are 0115T (Initial face-to-face assessment or intervention with the patient; 1-15 minutes, 0116T (Subsequent face to face assessment or intervention with the patient; 1-15 minutes, and 0117T (Each additional 15 minutes spent face-to-face with the patient;

How Much Do You Know About Patients PHI?

How Much Do You Know About Patients PHI? In medical billing, PHI is personal patient information that should only be shared with covered entities. It is not only wrong to release a patient’s medical billing PHI to outside sources, but it will ruin your business as well. An example of wrongly shared PHI is at the University of Missouri Health Care. Currently over 800 patients have a class-action lawsuit filed against them. The patients claim their confidential medical billing records were released to a home health provider called Option Care. Option Care apparently called these patients trying to sell them pricey medications. They also tried to convince them that their

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