Archive for The Month of March, 2006

Archive for the Month of March, 2006

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

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

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

Medical Billing Cuts Threaten DME

Medical billing practices may be your only saving grace this year if you own a DME company. CMS payment cuts are on the horizon. In the past, Durable medical equipment companies have dodged these cuts, but now they seem to top the Centers for Medicare & Medicaid Services cut list this year. Your durable medical equipment Medical billing reimbursements may suffer. The Centers for Medicare & Medicaid Services define any grossly excessive payment with a fifteen percent threshold. This amount used in medical billing will now be subjected to the inherent reasonableness cuts. Durable medical equipment companies are the target for the agency this year. The medical billing cuts are

Medical Billing Fees Charged To Clients

If you’re thinking about outsourcing your medical billing and you aren’t sure how the invoicing part works or how fees are calculated by your medical billing partner, you will find the fees are very reasonable and when you consider the time your staff will be suddenly realizing from not chasing claims, finding documentation and filing and answering appeals, will translate into more dollars for your practice, besides the fact your medical billing claims will be paid within about 2 weeks instead of the 60-90 days range that you are probably experiencing if you are still filing your claims yourself. You will find that most medical billing companies charge a percentage

Medical Billing Fraud Strikes Again!

Medical billing fraud can take on several forms. Usually healthcare practices are thought to be in place to help you when you are in need. People don’t usually think of healthcare facilities as crooks and liars. Unfortunately, some of them are. The state of Washington has found yet another poor example of healthcare medical billing. Star Physical Therapy was charged with medical billing fraud of over $400,000. The owner of Star Physical Therapy, Nancy Wong was thought to be an upstanding citizen. She was even a member of the Washington State Board of Physical Therapy. Wong, proved us all wrong. She did plead guilty to medical billing fraud in June.

Medical Billing for High Risk Pap

The medical billing staff members in the OB-GYN office have their work cut out for them. There are so many rules and regulations about procedures specific to this specialty. The Pap smear is one area that can get sticky. Knowing how to correctly do medical billing for a high risk pap smear is an important skill. When you are doing medical billing for a Medicare patient, a high risk pap smear must meet to criteria. First, the patient must have over five sexual partners, or have had sex before she turned 16. Only in these instances can you do medical billing for a high risk, screening pap smear. Many medical

Medical Billing Reimbursement Increase for Screening Exam

The Welcome to Medicare screening exams offer more medical billing reimbursements for medical practices across the country. Currently, if the primary care physician specifically orders any radiology, those tests are chargeable separate from the exam. Make sure you follow Medicare screening rules to ensure you have proper reimbursement. Typical radiological studies that may be ordered for the Welcome to Medicare exam include a bone mass measurement 76075 (Dual energy x-ray absorptiometry, bone density study, one or more sites; axial skeleton) and a mammogram 76092 ( screening mammography, bilateral two-view film study of each breast). When you use these medical billing current procedural terminology codes, be sure to use the correct

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