Archive for The Day of July 10th, 2006

Archive for the Day of July 10th, 2006

Welcome to the medical billing blog archive for the day of July 10th, 2006.

Here you will find links to every article added to the Outsource Management Group web site during July 10th, 2006.

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

Avoid E/M Documentation Errors In Your Medical Billing

Avoid E/M Documentation Errors In Your Medical Billing Some of the most common services a medical billing company charges, in behalf of a physician’s office, are for evaluation and management services. There are common errors and CPT code misuses for these services. Medicare is probably the most common payer today. There are three things a medical billing company must substantiate with documentation before Medicare will pay: medical necessity, CPT code criteria, and services must be rendered and documented in the patient’s records. First, when performing Evaluation and management medical billing for a practice, you must ensure medical necessity. Many times simple documentation errors can disprove medical necessity. The chief complaint

By: Melissa Clark, CCS-P, RT - CEO
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Getting Medical Necessity Right

Getting Medical Necessity Right Medical necessity is the single most important element in medical billing. Many times medical necessity comes down to the proper CPT code used for medical billing purposes. It used to be that Medicare was the only payer that cared what ICD-9 code was used. Presently, all payers, including insurance companies, are looking for any reason not to pay the bill. ICD-9 codes have become the target. ICD-9 codes range anywhere from a three-digit code to a five-digit code. Obviously, a five digit code is more descriptive then a four digit code. Similarly, a four digit code is more accurate then a three digit code. Very rarely

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