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.
Reasons to Outsource Your Medical Billing Functions
If you’ve been feeling the stress and strain of too much paperwork and time spent preparing medical billing for your practice and not enough time is left to service your patients to help your practice grow, it might be time to consider outsourcing your medical billing claims. There are some sobering facts about medical billing claims that might give you pause to consider it might be time to outsource your medical billing. When you consider that healthcare providers averaged spending $7 billion annually just submitting claims to carriers. Another jaw dropping fact about your medical billing claims, is you might be missing being reimbursed for nearly 1/3 of your legitimate …
Medical Billing for Nutritional Counseling
With obesity among patients rising at an alarming rate, the continuing counseling of patients who need nutritional information, especially for controlling their diabetic conditions is also on the rise and it is fast becoming a common coding in medical billing. If it can be reimbursed and how it can be reimbursed are two dilemmas that many physicians are finding confusing. If you’re not getting reimbursed for your patient counseling, you’re losing money for your practice. When an individual nutritionist consults with a patient in a non-certified physician setting, you’ll most likely report sessions with 97802-97804. But if your practice has an American Diabetes Association-approved program, you may also use Medicare-specific …
Getting New Patient Office Visits Paid by Medicare
If a new patient presents in your office and it is determined through evaluation that a pap smear is necessary – Medicare will probably deny the claim unless you can show medical necessity of the preventative measure. You will need to use pap and a pelvic code with 99203 is if the patient presents with a problem that needs to be evaluated. Using code 99203 (Office visit) is not a substitute for the rest of a preventive exam (which Medicare generally does not cover). Use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to the …
Medical Coding – The First Step to Medical Billing
Medical billing and medical coding go hand in hand and can seem very confusing until you learn how they work with each other. Medical coders take the procedures and services performed by doctors, hospitals and clinics and translate those services into a series of assigned medical codes that each carry a revenue amount that will be reimbursed when the form that the medical coder has filled out is completed, documented and submitted for reimbursement by the medical biller. There are codes for every conceivable type of encounter and even codes for having no code for the procedure. Whether it is a test, service, procedure, treatment or ongoing care, the service …
Medical Billing Explained
If you’re researching becoming a medical biller, it is a fantastic career with a great future. Basically a medical biller takes the documentation provided by their client (a doctor or hospital) that has rendered services to a patient and is looking to get reimbursement for those procedures and services from the patient’s insurance company. The medical biller’s job is to submit the claim to the carrier (insurance company) and get their client (the doctor or hospital) a reimbursement. The medical biller will have to make sure the claim is properly coded. This means that each procedure and service has a numerical code assigned to it. Those codes must be logical …
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