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.

Coming Price Cuts To Certain DME

Coming Price Cuts To Certain DME The Centers for Medicare & Medicaid Services has a medical billing change coming that will cut the reimbursement rate of power wheelchairs. Soon the Centers for Medicare & Medicaid Services will use the gap-filling method to set the medical billing fee schedule for these chairs. This new medical billing method will severely decrease the reimbursement amount for power wheelchairs. The gap-filling medical billing fee schedule method is when the Centers for Medicare & Medicaid Services takes the cost for the durable medical equipment back in 1987. Then, they figure the price for the current year using increases in fee schedule amounts. Unfortunately, for power

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Medical Billing Reimbursements For Professional Fees

Getting Medical Billing Reimbursements For Professional Fees Doing medical billing is only one aspect of getting reimbursed for professional fees. Many things must take place in order to get correct reimbursement for professional medical services. Services must be rendered, accurate documentation must be taken, and correct medical billing practices are all requirements of getting reimbursed for medical professional fees. The first thing that must take place before you can even perform medical billing is the rendering of a service. A complete exam or lab, or x-ray, surgery, etc must be performed for everything to take place. It is important to treat patients with respect because if you do they will

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Boosting Medicare Revenues For Rehab Services

Boosting Medicare Revenues For Rehab Services Medical billing may not be changing for Medicare rehab services, but patient premiums are. On September 16, 2005, the Centers for Medicare & Medicaid Services announced that the Medicare Part B premiums will increase in 2006 to $88.50 a month. This is up $10.30 from the current premium of $78.20 a month. The Centers for Medicare & Medicaid Services says this change in medical premiums will not negatively effect patient billing. The Centers for Medicare & Medicaid Services says this premium hike is necessary for the survival of the program. They say that in recent years much more medical billing has been done for

Published By: Melissa C. - OMG, LLC. CEO | No Comments

New HCPCS Coding Changes Include New Categories

New HCPCS Coding Changes Include New Categories The times are changing for medical billing codes. There have been changes to the Healthcare Common Procedural Codes System which include new medical billing codes and completely different categories. On October first there are several new medical billing codes your practice should get familiar with. The main difference with the Healthcare Common Procedural Coding System is the new release of low-vision rehabilitation service codes. The Centers for Medicare & Medicaid Services released these codes (G9041-G9044). They are based on 15-minute intervals and have different codes depending on what kind of therapist does the service. Also included in the medical billing codes are many

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Bundling Claims Brings Higher Ob-Gyn Reimbursements

Bundling Claims Brings Higher Ob-Gyn Reimbursements Medicare has made several changes to the bundling procedure for Ob-Gyn medical billing. The procedures for bundling codes or not bundling certain current procedural terminology codes when doing medical billing constantly changes for Medicare. In order to receive the highest reimbursement possible, it is necessary to know the correct billing for certain medical current procedural terminology codes. The latest Medicare change deals with current procedural terminology code 57283 (colpopexy, vaginal; intra-peritoneal approach). You can no longer perform separate billing for this medical code and 57280 (Colpopexy, abdominal approach). They are mutually exclusive. This means that if both codes are reported on the same day

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Medical Billing And Second Observation Day Coding

Medical Billing And Second Observation Day Coding Eventually, when you’ve done enough medical billing, you will run across the scenario when a patient is in the hospital on a three day stay, a common belief among medical billers is that the a “middle” day of observation should be billed on the medical billing form as an Outpatient Visit (99212-99215). Many Carriers and Medicare will not reimburse a middle day visit coded in this fashion. Even with documentation for the middle day visit included on the medical billing form. The AMA’s position on the medical coding for this situation is that you report the middle/second day of a three day stay

Published By: Melissa C. - OMG, LLC. CEO | No Comments