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.
Appeal When A New Code Claim Isn’t Paid?
Should You Appeal When A New Code Claim Isn’t Paid? HIPAA regulations are in place to prevent medical billing games. When current procedural terminology codes and ICD-9 codes are introduced, they have a certain effective date attached to them. This effective date states the very last day in which payers and providers must recognize the new code. It is illegal to deny claims for medical billing non-recognition. Providers deny claims all the time. There are various reasons for claim denials. These can range from a non covered service, to not substantiating medical necessity for a service. However, it is against the rules to deny medical billing because their system doesn’t …
Guideline Changes For Portable X-Rays
Guideline Changes For Portable X-Rays Portable x-ray medical billing is quickly changing. Currently, separate modifiers and medical billing codes are used for transportation of these x-rays when claims are sent to insurance carriers and Medicare fiscal intermediaries. On April 1, 2006, different codes will not be used. Medical billing codes sent to all payers for portable x-rays will be the same. The correct way to do medical billing for a portable x-ray transportation is to use modifiers. The Medicare fiscal intermediaries require a skilled nursing facility to use modifiers when more than one patient is treated after portable x-ray equipment is transported. The Centers for Medicare & Medicaid Services state …
ICD Changes That Will Affect Some Medical Billing
ICD Changes That Will Affect Some Medical Billing In an effort to improve medical billing and patient health, it is now a requirement to enroll in the new ICD (implantable cardioverter defibrillator) data repository. On October 27, the Centers for Medicare & Medicaid Services announced they would be moving over to a new data system. The purpose of this transition is to improve cardiovascular knowledge. Increased cardiovascular knowledge will lower bills and improve medical billing. The New ICD data repository for the Centers for Medicare & Medicaid Services will be a change for the better. With all medical billing information transitioning from the old system, Quality Network Exchange ICD Abstract …
Medical Billing For An Unlisted Procedure
Medical Billing For An Unlisted Procedure Have you ever heard of a jejunostomy in medical billing? Probably not, because this procedure is not listed under any current procedural terminology codes. The service is similar to a gastrostomy, but slightly different in nature. The question becomes: Should you use a gastrostomy CPT medical billing code when the service is actually for a jejunostomy? A medical billing guideline would answer this question. It is not acceptable to choose the “next best” code when an exact code will not work for a service. Medical billing should be completely accurate. If there is not suitable code to describe the service, you should report the …
Better Training, Better Billing, Better Reimbursement
Better Training, Better Billing, Better Reimbursement Medical billing staff members should be highly skilled. The better the training, the more accurate your claims and reimbursements will be. Medicare Part A can be difficult for even the most skilled medical billing staff members to grasp. There are some simple things any medical billing personnel should know about Medicare Part A. Any mistake in the medical billing arena can not only cost you big bucks, but can also get you tangled up in the law. It is important to make sure your staff members understand consolidated billing for Part A. There are many things that are only excluded in Part A when …
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