Archive for The Month of May, 2006

Archive for the Month of May, 2006

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

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

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

Using POS 21 In Your Medical Billing

When processing medical billing for hospitals, location of services is everything and you must be certain that the correct place of service coding is used. That is where code 21 comes in handy. Place of service code 21 is used in medical billing for all inpatient hospital care. Admittance of a patient to the hospital will make it necessary to use the inpatient hospital POS code 21. Many medical billers get confused when the emergency department comes into play. They question whether or not they should use place of service code 23 for emergency room-hospital, or place of service 21 for inpatient hospital if a patient is admitted from the

By: Melissa Clark, CCS-P, RT - CEO
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Special Needs Indirect Supervision Procedures

When a staff member stands in for a pediatrician and performs a low level service also called a Care Plan Oversight, how that reimbursement works for those procedures can be confusing. In order to correctly bill services, there are certain policies that should be followed. The steps for billing indirect supervision can be broken down into the three basic steps. Getting the coding right is the first step. The medical billing current procedural terminology codes 99375-99380 should only be used in certain instances. These codes represent non face-to-face visits by pediatricians for special needs children. There are firm instances when it is acceptable to do medical billing for this care

By: Melissa Clark, CCS-P, RT - CEO
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Does Your Staff Find the Hyphen Regulations Confusing?

The hyphenated codings have been removed from coding alerts. The American Medical Association has removed the hyphen from all coding manuals and the CPT Assistant. However even though the hyphen is no longer used in the manuals, whether or not your staff chooses to use it in their medical coding is solely up to them. It will not affect how your medical billing claims are handled. Initially, the medical billing modifier hyphen was used in AMA publications for formatting purposes. It was supposed to ensure that people didn’t confuse the modifier with the rest of the current procedural terminology code. It was also to let people know that the number

By: Melissa Clark, CCS-P, RT - CEO
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Medical Billing Dilemma – When to Use Fetal NST Code 59025

It is better to make sure the patient recorded when she first felt the baby moving; otherwise, it is better to count the fetal monitoring as routine. When you report a 59025 Fetal Non-Stress Test for NST procedures, you need to be sure you are reporting them in the appropriate situations. During an NST procedure, the OB-GYN evaluates the patient and assesses the well being of a fetus without using IV medications. The test usually lasts about 30-40 minutes, during which the OB-GYN will monitor the fetal heart rate using external transducers. A “reactive” NST will show that the fetal heart rate accelerated from the base line fifteen beats per

By: Melissa Clark, CCS-P, RT - CEO
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Questions to Ask When Choosing a Medical Billing Partner

If you feel your practice is busy enough to outsource your medical billing to a third party partner, you’re making a smart choice. Just like any industry, there are medical billing partners that will fit the style of your practice and some that won’t. To find the best fit for your practice, do a little research on what services a medical billing partner could provide that would be valuable to your practice. Some physicians have been burned by doing business with medical billing companies that may have very good intentions and promised great results, but simply didn’t have the on the job experience to handle the myriad of unusual conditions,

By: Melissa Clark, CCS-P, RT - CEO
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Jumpstart your ECG Medical Billing with Correct Coding

When a patient has an ECG, it is usually for diagnostic purposes and if you don’t do the medical billing correctly to show the medical necessity of the procedure performed, it can result in the claim being only partially paid or completely denied by the carrier. The code range affected is: *93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report) if the physician performed the ECG and the interpretation *93005 (… tracing only, without interpretation and report) if the physician performs an ECG with tracing only *93010 (… interpretation and report only) if the physician does not own the ECG equipment. When you need to prove

By: Melissa Clark, CCS-P, RT - CEO
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How Does Medical Billing Work?

It starts with a patient who sees a physician. The patient gives the office their insurance or Medicare card and a new medical billing form is generated. No matter what procedures are rendered to the patient, it will be documented in the form of numbers called CPT codes, on the medical billing form. If the patient has any testing done such as a blood or urine sample, basic evaluation or even a patient history interview, all of this including if the patient is a first time visit or not will be documented on the medical billing form. If there is a reason for the patient not feeling well such as

By: Melissa Clark, CCS-P, RT - CEO
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Choosing the Wrong Medical Billing Partner Can Cost You

If you feel you’re finally ready to make the choice to outsource your medical billing, be aware the best choice may not be just around the corner from you. With the security of Internet transmissions, you can use a company across the country and be just as secure as if you were handing your documentation directly to someone across the hall from you. Making the choice to use a medical billing company for your practice can save plenty of money. However, choosing the wrong medical billing firm can cost millions and in some cases, your practice. There are numerous benefits to using a medical billing company. One of the biggest

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