Archive for The Day of June 16th, 2006

Archive for the Day of June 16th, 2006

Welcome to the medical billing blog archive for the day of June 16th, 2006.

Here you will find links to every article added to the Outsource Management Group web site during June 16th, 2006.

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

Handling Denials Due to Limitations of Service

Getting a medical billing claim denied is one of the biggest problems you can have with your billing. One tricky medical billing claim that many practices get denied for is the service for counseling patients that smoke or seeking to quit smoking and received counseling for doing so. Many payers outright reject any claim that has anything to do with tobacco, including counseling for the stoppage of its use. The patients either have zero coverage for this service or they get a limited number of counseling visits and those are normally less than full reimbursements. If the patient has already seen another physician regarding these services, you will have just

By: Melissa Clark, CCS-P, RT - CEO
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The Trouble with Disease Management Medical Billing

Medical billing for disease management is not working for many insurance companies. Disease management has been a trend in the recent years. However, model programs are being shut down all over the country. Lack of interest is the downfall of these disease management programs. Medical billing and revenue for the year will fall due to disease management closings. A model disease management program, HeartPartners will be closing ten months early. The payer, PacifiCare Health Systems, cannot take any more medical billing loss. They were severely short on beneficiaries. They anticipated 15,000 beneficiaries, however only 3750 people actually enrolled in the program. Disease management is intended to educate patients about their

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