Archive for The Month of July, 2006

Archive for the Month of July, 2006

Welcome to the medical billing blog archive for the month of July, 2006.

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

You can browse this month'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

Choosing A Medical Billing Company

Deciding to outsource your medical billing is not a decision to be taken lightly, and in the beginning you may not even need to outsource your billing in the beginning. But soon, you will find that your staff is so busy servicing your patients and running your office with its day-to-day goings on, finally you have to look at outsourcing. There have been some horror stories out there about physicians outsourcing their medical billing or practice management to a company and then finding out it cost them even more money because the company just wasn’t up to date on their coding books or simply not experienced enough to handle the

How is Auditory Rehabilitation Billed?

Medical billing changes occur each and every year in America. 2006 has brought many changes to the forefront. Aural Rehabilitation is one major area of confusion. Medical billing changes to Aural Rehab CPT codes have wrongly caused many people to believe Aural Rehabilitation is not covered. Medicare actually assigned status code “I” to all new medical billing codes for auditory rehabilitation. These codes are 92630 and 92633. This means that the Centers for Medicare and Medicaid Services will not pay for auditory rehabilitation, only diagnostic audiology. However, this is only true if an audiologist performs the service and the medical billing. There are several other medical professionals that could possibly

Is Outsourcing Your Medical Billing Claims Secure?

In a word, absolutely. There are a lot of pros to outsourcing your medical billing. Don’t let confidentiality concerns stop you from outsourcing your medical billing. A reputable firm will provide a confidentiality agreement and rest assured your records are handled with the utmost care. Confidentiality and accuracy are part of a billing company’s standard business practice. Your practice will benefit from outsourcing because with the burden of medical billing handled outside your office, you and your staff will have more time to run your business. It will allow you time to develop relationships with new patients and more time for marketing your practice. Using an outside firm to handle

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