Archive for The Month of November, 2005
Archive for the Month of November, 2005
Welcome to the medical billing blog archive for the month of November, 2005.
Here you will find links to every article added to the Outsource Management Group web site during the month of November, 2005.
You can browse this month's archives by clicking the "More" button from any of the excerpts below.
Do You Know Your Medical Billing RUG’s?
Do You Know Your Medical Billing RUG’s? The New RUG III should bring added reimbursement to freestanding facility medical billing across the country. These new changes will boost payment between 2.4% and 2.9% if the facility handles medical billing correctly. If medical billing is handled incorrectly, a drop in payments could be seen for skilled nursing. Training is of the utmost importance coming up on the new year. If a facility has rehab residents with cushioned care with add-on payments, the RUGs will throw them into a lower paying bracket. Understanding the Medicare per diem levels will be very important when it comes to reimbursement for services. There are several …
Medical Billing For Lower Extremity MRIs
Medical Billing Reimbursements For Lower Extremity MRIs Medical billing hip MRI rules are not as straightforward as you might assume. There are many variations on how to correcting bill for this service. There are some facts you should keep in mind when doing medical billing for lower extremity MRIs. Unfortunately, there is no specific medical billing CPT code for an MRI of the hip. You need to use the codes 73721-73723 (Magnetic resonance imaging, any joint of lower extremity). The hip joint falls into this medical billing category because it is a lower extremity joint. Doing medical billing for bilateral hip MRIs is also a bit more complicated. Different payers …
Correct Coding For ADD Follow-up Visits
Correct Coding For ADD Follow-up Visits Since attention deficit disorder is so prevalent, medical billing knowledge must also be. ADD walks a thin line between mental health coverage and medical coverage to many payers. To get reimbursed correctly for ADD follow-up visits, correct medical billing is necessary. There are two types of medical billing codes to use for ADD follow-up visits: mental health codes, and evaluation/management codes. 90862 (Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy) is the mental health code. Many insurance companies will deny this medical billing if your physician is not a mental health provider. The evaluation and management …
Medical Billing Reporting For Inpatients Made Easy
Medical Billing Reporting For Inpatients Made Easy One of the most difficult medical billing feats is inpatient consultation coding. There are many instances when a follow-up inpatient consult should be replaced by a subsequent hospital care visit. To eliminate these medical billing errors, there are four facts to consider when coding for inpatient consults. The first fact is very obvious. If your report an inpatient consultation exam, the patient must be inpatient, not outpatient. Very often physicians see patients on a consultation basis when they are outpatient. Medical billing mistakes can be made easily. Double check your work. It is important in medical billing to always report one initial consultation. …
Separate Medical Billing For Separate Tests
Separate Medical Billing For Separate Tests The Centers for Medicare & Medicaid Services has improved medical billing reimbursement for Medicare patients. Currently, if your practice does medical billing for a Medicare exam on a newly 65 patient, you can also bill for cardiovascular screening tests and diabetes screening tests. The Centers for Medicare & Medicaid Services realizes that separately billing for these screening services may seem incorrect. For this reason they are sending out plenty of medical billing information to explain how to bill for preventative care in the future. For instance, one of the things physicians can bill for separately is diabetes screening tests. As long as one risk …
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