Archive for The Day of June 6th, 2006
Archive for the Day of June 6th, 2006
Welcome to the medical billing blog archive for the day of June 6th, 2006.
Here you will find links to every article added to the Outsource Management Group web site during June 6th, 2006.
You can browse this day's archives by clicking the "More" button from any of the excerpts below.
Medically Unbelievable Units Not a Worry- For Now
The Centers for Medicare and Medicaid Services (CMS) were due to implement an additional restriction on the reporting of units of service that was to begin on July 1st. The CMS has decided to not to use the “Medically Unbelievable Edits” (MUEs) that would have restricted the units of service you could report on your medical billing claims. Based on concerns from physicians and medical billing and coding professionals alike, the CMS has pulled the planned implementation of this program for further review. This change to MUEs reimbursements would have affected roughly 1,000 laboratory and pathology CPT/HCPCS codes. The MUEs would have limited the number of times you could bill …
How to Bill MRI Claims for Maximum Reimbursements
In many instances, when a patient receives both an IAC and brain MRI, many practices mistakenly bill only for one service or the other. However, in most cases, both procedures can be reimbursed. The criteria for both procedures to be reimbursed are contingent in the fact that they must be performed in the same session. The requirement to code for both services is that they need two separate and distinct exams. Each exam is required to have distinct findings and you must have a medical necessity and documentation to back up both claims completely. If you find this situation confusing, you’re not alone. The fast changing world of medical billing …
Medical Billing Tips to Reign In Your Global OB Coding
The following tips will help to ensure success for your global ob packages every time. Make sure that you are getting the maximum reimbursement for your medical billing claims. 1. Make certain that all of your ICD-9 selections for OB billings have been chosen from the 640-678 range of diagnoses. 2. Always code to the highest specificity when you must add a fifth number to denote the episode of care (as in a case of complications mainly related to pregnancy, 651-659)a. Unspecified = 0b. Delivered, with or without a mention of an antepartum condition =1c. Delivered, with mention of a postpartum condition = 2 d. Antepartum condition or complication =3e. …
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