Archive for The Day of April 3rd, 2006

Archive for the Day of April 3rd, 2006

Welcome to the medical billing blog archive for the day of April 3rd, 2006.

Here you will find links to every article added to the Outsource Management Group web site during April 3rd, 2006.

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

HIPAA And Code Sets

Imagine this scenario: What if your medical billing claims were suddenly rejected at a rate of up to 25%. Sound like a nightmare? You bet it does,but it could happen to your practice if you don’t keep up with HIPAA regulations and current coding changes that occur many times per year. That is a huge chunk taken out of your reimbursement revenue, and could easily be avoided through proper filing of your medical billing claims. On Oct. 16, 2003, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) took effect and with that a new set of standards for the transactions and code sets that you use every day

Medicare To Verify Necessity Of More Medical Billing Claims

There is currently a medical billing demonstration taking place that may lead to increased medical necessity reviews. Currently, the states of New York, California, and Florida are involved in a pilot demonstration led by the Centers for Medicare & Medicaid Services. The Centers for Medicare & Medicaid Services has hired a Recovery Audit Contractor (RAC) to do extensive evaluation of medical billing claims for three years. You may be asking: What does this medical billing audit mean to your practice? If the demonstration in these three states is successful and the Centers for Medicare & Medicaid Services are able to recover money in medical billing overpayments, it could mean a

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