Archive for The Day of July 21st, 2006

Archive for the Day of July 21st, 2006

Welcome to the medical billing blog archive for the day of July 21st, 2006.

Here you will find links to every article added to the Outsource Management Group web site during July 21st, 2006.

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

Sutures-Get Your Reimbursements

If you have had V58.3 denials in the recent past, it’s probably due to your method of reporting the procedure on your superbill instead of an unnecessary procedure. Make sure that you report V58.3 as a two-line entry. Instead of “dressing change/suture removal”. Additionally, the coming ICD-9 2007 changes that will go into effect on October 1st will also have more specifics for reporting in this series. This will include three aftercare types. Remember that V58.3 is no longer a catchall coding for these procedures. The new codings will be as follows: * Nonsurgical wound dressing change or removal–V58.30 * Surgical wound dressing change or removal–V58.31 * Suture removal–V58.32. Payers

Correctly Using Modifier 59

Modifiers can be a helpful addition to medical billing. However, there are certain modifiers that are constantly used incorrectly. The contractors for the Centers for Medicare and Medicaid Services are now keeping an eye out for suspicious modifiers. The medical billing modifier 59 is on the list of modifiers to flag for review. Recently, the U.S. Office of Inspector General released a report that showed some daunting medical billing news. Modifier 59 has been the cause of over $59 million in overpayments to nursing homes and providers. Due this large number of overpayments, Medicare contractors will be closely scrutinizing each medical billing submission that contains the modifier 59. To prevent

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