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.

Getting Your Arteriogram Claims Paid

Medical Billing Tips – Getting Your Arteriogram Claims Paid After reading this section, you will be a bilateral renal arteriogram medical billing wiz. There are many code confusions with this surgical procedure. Some payers will not pay a cent if you bill the wrong code combinations. However, doing medical billing for renal arteriograms can be quite simple. There are two codes one should report when doing medical billing for a renal bilateral arteriogram. The current procedural terminology code 36245 should be reported twice. Then the Current Procedural Terminology code 75724-26 should be reported. Do not make the mistake in adding a G0275 to your claim because the renal arteriography already

Medical Billing Dilemma- Changing Newborn Status

Medical Billing Dilemma – Changing Newborn Status The well-being of newborns can change instantly, which intern, changes their medical billing. Newly born babies are very susceptible to illnesses. Their bodies are not used to functioning outside the uterus. They develop breathing problems, heart conditions, illnesses, skin rashes, etc. Many medical billers have incorrectly coded these evaluations. In order to receive correct reimbursement for newborns, it is important to know how to do medical billing for same-day visits for different diagnoses. When a baby is born, it may be considered a well baby. They physician does an exam and the baby is sent to the nursery. Let’s say that two hours

Medical Billing For Non-Physician Practitioners

Medical Billing For Non-Physician Practitioners Medical billing policies by non-physician practitioners have recently changed. The Centers for Medicare & Medicaid Services reduced restrictions on what types of providers can bill for medical services. There are now several instances when a CMS and NPP can do medical billing for the services they provide. There are several medical billing scenarios to clarify for non-physician practitioners. First of all, it is perfectly legitimate for a nurse practitioner or a clinical nurse specialist to get reimbursed for services rendered in the skilled nursing facility in which they are employed. If the non-physician practitioner decides to resign their payments to the facility, then the SNF

CMS To Provide National Provider Training

CMS To Provide National Provider Training There are some medical billing provider changes on the horizon. The Centers for Medicare & Medicaid Services is trying to catch everyone up to speed on the new National provider identifier system. The Centers for Medicare & Medicaid Services believes this provider training with alleviate some of the medical billing confusion once the change takes place. On May 27, 2007, all medical providers and organizations will be required to have a national provider identifier for claims processing. This is for any covered entity recognized by HIPAA. This national provider identifier will replace the current provider number. It is important to note that although the

Borrowing Provider Numbers Can Bring Big Trouble

Borrowing Provider Numbers Can Bring Big Trouble When performing medical billing, using your own provider number is a requirement. Failure to do so is considered fraud and is not tolerated. Using another provider’s tax identification number for medical billing can cost you big money and even jail time. Fraud costs Americans billions of dollars a year. (yes I said BILLIONS). One of the may variations of medical insurance fraud is using another provider’s Tax identification number. There are several reasons why providers would want to do this. A doctor without a contract with a provider network may want to use a TIN of a provider inside that network. Some people

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