Archive for The Month of January, 2006

Archive for the Month of January, 2006

Welcome to the medical billing blog archive for the month of January, 2006.

Here you will find links to every article added to the Outsource Management Group web site during the month of January, 2006.

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

Changes To Your CCR

If you have a New Provider Number you can expect Changes To Your CCR Your CCR or cost to charge ratio will still be used with the surviving provider number if your hospital merges with another one. Your Medicare fiscal intermediary will continue to use the old CCR instead of a new one if there is a merger. However, If Medicare issues the hospitals a new provider number after a merger then there will be a different outcome. In the event of a new provider number your Medicare fiscal intermediary will use the average CCR for the state because according to them a new provider number means that there has

By: Melissa Clark, CCS-P, RT - CEO
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Medical Billing Expanded for Cardiac Rehab

Medical Billing Expanded for Cardiac Rehab Cardiac rehabilitation staff members have great medical billing news coming their way. The Centers for Medicare and Medicaid Services expanded coverage for cardiac rehab this past December. The medical billing element for cardiac rehabilitation will be much less strict when it comes to requirements. Last year, the requirements in order to get medical billing reimbursement for cardiac rehab were strict. You had to have a heart attack, angina, or coronary artery bypass surgery. The Centers for Medicare and Medicaid Services now realizes that this type of care does not prevent any problem from occurring. It was merely reactive treatment. In December of 2005, the

By: Melissa Clark, CCS-P, RT - CEO
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Flu Shot Frauder May Pay for Medical Billing Misuse

Flu Shot Frauder May Pay for Medical Billing Misuse If you thought you had medical billing problems, check out the problems in Houston! Currently, Texas is home to one of the most outrageous medical billing fraud cases. Two individuals are accused of administering fake flu shots to individuals and getting medical billing reimbursement for these fake services. Two individuals, Ivad Abu El Hawa and Martha Denise Gonzales were involved in this serious medical billing fraud. Hawa is the owner of Comfort & Caring Home Health, which is located in Houston. Gonzales is the manager of a Houston Doctor’s office. Apparently, the two gave 1,100 people employed by Exxon Mobil fake

By: Melissa Clark, CCS-P, RT - CEO
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3 Steps For Getting the Indirect Supervision Code

3 Steps For Getting the Indirect Supervision Code For help with performing the care plan oversight services if you are having a hard time with the 993xx series these steps should help to get you started. Step one is to count these care services as 99374-99380. The 993xx series codes allows pediatricians to bill for coordination of care of special needs children without face to face visits. You can report these care plan oversight CPO codes as 99374-99380 for Doctor supervision. This is only for when the patient is not present for the following doctors services, a) revision or development of care plans for multidisciplinary and complex modalities. b) related

By: Melissa Clark, CCS-P, RT - CEO
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New Solution for Therapy Medical Billing Caps

New Solution for Therapy Medical Billing Caps New treatment methods and less surgical procedures has made therapy medical billing dramatically rise. Not only are there more physical therapy claims, but there are also many more speech therapy and rehab claims sent in to payers. To decrease the deficit, the House of Representatives recently passed an act that puts a cap on therapy medical billing. The Deficit Reduction Act of 2005 was passed on December 21,2005 with a very narrow vote by the Senate. Senators were split in a 51-50 vote to cap therapy medical billing reimbursements. As a matter of fact, the vice president of the senate cast the tie

By: Melissa Clark, CCS-P, RT - CEO
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What makes Medical Billing Firms So Special

What makes Medical Billing Firms So Special What makes medical billing firms so special, you ask? Many medical practices and facilities have made the switch from doing their own claims processing, to outsourcing. There are several benefits of using an outside medical billing firm. Time for CustomerWhen running any type of business, the customer is the most important element. Medical practices are no exception to this rule. The less behind the scenes work your employees are required to do, the more time that is available for your patients/customers. The task of medical billing can take a lot of time. Medical billing requires coding, submission, reimbursement calculations, accounts receivable, and follow

By: Melissa Clark, CCS-P, RT - CEO
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New Medical Billing Intracranial Codes are Not reimbursable

New Medical Billing Intracranial Codes are Not reimbursable Although a procedure works to heal a patient, it may not work when doing medical billing. There are many medical billing procedure codes in which the Centers for Medicare & Medicaid Services will not pay. Perhaps the most shocking group is the intracranial surgery codes group. These medical billing codes have proven to be very effective in treating patients, but not so effective for payment. The Centers for Medicare & Medicaid Services is still rejecting payment for the medical billing current procedural terminology codes 61630-61642. These are intracranial procedure codes that portray procedures such as micro catheters for intracranial vessels. These procedures

By: Melissa Clark, CCS-P, RT - CEO
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