Archive for The Day of July 26th, 2006
Archive for the Day of July 26th, 2006
Welcome to the medical billing blog archive for the day of July 26th, 2006.
Here you will find links to every article added to the Outsource Management Group web site during July 26th, 2006.
You can browse this day's archives by clicking the "More" button from any of the excerpts below.
The Importance of DME Preapproval
Durable Medical Equipment refers to wheel chairs, braces, shower chairs and other assisted living equipment. And are generally purchased as an outpatient. It really does not matter if your patients are insured through Medicare, Medicaid, Workers’ Compensation or through a private insurance carrier, nearly all DME claims must be preapproved prior to submission of the medical billing claims. Many of these policies have strict guidelines that must be followed in order for the DME medical billing claim to be paid. Some providers will require that the DME be purchased through their own sources and have a listing of specified providers. Many HMOs are very narrow about the DME they will …
The Trickiness Coding Radiology Services
Medical coding for radiology services can be very tricky. Most radiology procedures, unless emergency, normally need pre-approvals in order to receive reimbursement for services rendered. Failure to get a pre-approval can result in your medical billing claims for radiology being denied and rejected. Make sure you have a pre-approval on file before the services are rendered. Contact the carrier, note the date and time that you called. Get the first and last name of whoever approves the services. You may very well need this information in the future if your medical billing claim is denied. There are also CPT coding changes that happen often in the field of radiology. Keeping …
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