Archive for The Month of April, 2006
Archive for the Month of April, 2006
Welcome to the medical billing blog archive for the month of April, 2006.
Here you will find links to every article added to the Outsource Management Group web site during the month of April, 2006.
You can browse this month's archives by clicking the "More" button from any of the excerpts below.
Correct Medical Billing for Foreign-Body Removal
Foreign body removal is another scenario that winds up with a lot of rejections or reduced reimbursements. One of the biggest reasons is that when the coding is being done on the claim. The part of the body affected isn’t addressed in the medical billing claim. If a foreign body was removed from a patient’s eye, then the code for simple foreign body removal should not be used. The specific coding for removal of conjunctival foreign bodies which is code 65205 (Removal of foreign body, external eye; conjunctival superficial) or 65210 (conjunctival embedded [includes concretions], subconjunctival, or scleral nonperforating). Notice that these codes do not refer to any particular instrument …
Medical Billing for Ob-Gyn Claims Made Easy
As you know, the CPT 2006 injection coding instructions now require that the ob-gyn’s presence be verified during an injection which is coded as 90772 or the procedure must be reported as a non nonphysician-performed procedure as 99211. The latter can result in a no-charge depending on the payer’s policies. You need to make sure you answer these questions: *Is the Doctor in the office and available at the time of injection?If you can answer yes, you can report this medical billing claim as 90772. If you cannot answer yes, then you have to use 99211 that is for injections given without direct physician supervision. The requirement does not mean …
Extensive Documentation for Chiropractors and Podiatrists
Medicare is recommending that chiropractors and podiatrists claims get extra-close scrutiny in their latest issue of the Red Book, which has recommendations for saving Medicare and other federally funded programs money. There will be more stringent requirements for chiropractors to meet for certain procedures and debridement services performed by podiatrists will be getting looked at very closely. If you perform these services or your are a medical billing company that does, check and double check your medical billing for the proper documentation before filing your claims to avoid delays in reimbursements or outright rejections of your medical billing claims. The modifiers used on these claims will be getting extra close …
Consolidating Your Medical Billing Lists
The Home Health Consolidated medical billing lists are currently changing. This new change comes about because the medical coding system is quickly changing and can no longer support certain medical codes and needs other medical billing codes for consistency. Be sure to update your medical billing consolidated lists with these new home health codes for accurate claim submission. There are three medical billing codes for home health that will be eliminated from the consolidated list. These codes include A5119 (Skin barrier wipes box pr), A6025 (Gel Sheet for dermal or epidermal application), and A4656 (Needle, any size each). Two of the codes, A5119 and A4656, will be replaced with more …
Thinking of Hiring a Medical Billing Consultant?
It can seem daunting to hire a medical billing consultant. Especially if you have never outsourced your billing or you feel as though you would be relinquishing control over your billing which is not the case. In reality, outsourcing your medical billing and coding needs through a consultant is one of the smartest business moves you can make. Don’t think you have to use a local company, many medical billing firms have branch offices in an area near you, but others may be miles to hundreds of miles away, and thanks to the power of the internet with secure connections and software advances that allow you to transfer your patient …
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