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.

2006 Medical Billing Quality of Care

Quality of care will be of the utmost importance to medical billing in the year 2006. Now, more than ever, the Centers for Medicare and Medicaid services have decided to focus reimbursement on healthcare quality. There are two ways in which CMS is trying to improve medical billing and quality of care in nursing homes. Recently The Centers for Medicare & Medicaid Services has introduced a new website called STAR (Setting Targets, Achieving Results). This website focuses not only on medical billing, but also the quality of care in nursing homes. It aids nursing homes in sharing publicly reported data and has many quality improvement tools included. The web address

Medical Billing Mandates Increase Premiums

State regulated medical billing mandates may be beneficial to some people, but they drive the premium costs higher. A Heritage Foundation report was conducted that had significant information for states. It suggested that the more health coverage mandates a state had, the higher the individual premiums. Medical billing mandates that are meant to help citizens may in fact be hindering them. In the Heritage Foundation medical billing report, four variations of state regulations were measured: health plan liability, mandated benefits, direct access to specialists, and provider due process. It was found that on average, medical billing premiums rose $26.72 per month in states with health plan liability mandates. In states

Two Scans May Mean Less Reimbursement

Extensive Medicare fee reductions could severely hurt physicians bankbooks in the medical billing arena. Some physicians warn that if the projected 4.3 percent cut takes place in 2006, they may have to go out of business. One of the major issues of the debate deals with radiology scans. The American College of Radiology has a bone to pick with this possible medical billing change. The 2006 scan rule is as follows: When performing two imaging services on the same day, the payment for the technical component of the second imaging scan will be reduced by 50 percent of the current reimbursement. Radiologists are outraged by this possible medical billing cut.

What is Medical Practice Management?

Medical Practice management is a powerful tool practices can use to fulfill their medical billing needs and more. There are four categories medical Practice management firms provide: medical coding services, medical billing services, physician credentialing, and consulting services.Medical coding services are useful services to outsource for your medical billing needs. These firms can code services and submit claims for your practice. This saves many man hours and allows only experienced people to handle the claims. The next service provided by medical practice management is medical billing services. Usually these firms can have access to your database and office information. They are in charge of making sure your office gets paid

Big Changes for Medical Billing RVUs

Keep your ears open for medical billing Relative Value Unit changes. The Centers for Medicare and Medicaid services plans on making huge cuts next year. Strangely, some medical professions will largely benefit from these cuts while a great number of other medical professionals will lose a lot of revenue. Recently, the Centers for Medicare and Medicaid services released a list of medical billing winners and losers. There are many medical billing current procedural terminology codes that will receive huge double digit slashes next year. Instead of calculating the relative value units from a top down method, they will use a bottom up method. They have suggested four different ways to

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