Medical Billing & Medical Coding Blog...

Medical Billing » Blog » Avoid Fee Reductions in Your Medical Billing

Avoid Fee Reductions in Your Medical Billing

Avoid Fee Reductions in Your Medical Billing

If you have multiple endoscopic services that were rendered during one surgical session, make sure that you determine if the procedures were all part of a “parent” procedure. If that is the case, you can not bill for different endoscopes, you must put them together as one service or you run the risk of having the carrier impose a fee reduction on your medical billing claim.

The parent code must be included in the medical billing and be sure to include your documentation of medical necessity to insure that your medical billing claim gets paid in full and not a reduced reimbursement or worse, an outright rejection. If other endoscopic services were performed and they were not located within range of the parent code, you may report them as separate procedures during the same servicing of the patient.

In the event you do not have a parent code for your endoscopic procedures, you may bill all the procedures as long as separate scopes and places on the body were serviced. Use the CMS fee schedule to quickly break down the parent codes so your medical billing can be as accurate as possible.

If you’re finding the codings and changes are too much to keep up with, consider outsourcing your medical billing to a partner that will not only keep up with the changes, but inform you of coming changes so your staff can always be ready to code for the maximum reimbursements for your practice.

View all Articles by:

Leave A Comment About This Article?

(Note: All Fields are Required)

Your Name:

Your Email:

Your Comment:

   (Note: No HTML is Allowed, All Comments are Held for Approval Before Publishing)

Subscribe To Article Updates By Email

Submit this form to receive an email when a new article is published to our blog.

Your email address:

(Your email will never be given or used for anything but this article subscription) - privacy policy

Google Reader or Homepage Add to My Yahoo! Subscribe with Bloglines Subscribe in NewsGator Online Add to Technorati Favorites!
Blog Sections
Blog Archives
Professional Affiliations
Connect With Us
Tweets by This Author
Feedback
The medical billing blog with billing and coding articles!
Medical Billing & Coding Articles!