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.
Are You Using Modifier 22?
In the world of medical billing, modifiers can be just as important as the CPT codes they append. A simple mistake such as miss sequencing these codes could lead to incorrect reimbursements. There is one modifier that is known as being the most incorrectly used modifier: 22. Knowing how to correctly use the medical billing modifier 22 is an important skill to learn. Modifier 22 (Unusual procedural services) is used to indicate a substantial amount of extra work a physician needs to do for a specific procedure. As a matter of fact, there are some procedures that never get separately reimbursed unless modifier 22 is used in medical billing. The …
The Importance of Accurate E/M Claims
Medical billing largely depends on the accuracy of the physician’s records. Many times physicians have nothing to do with the medical billing aspect of their practice or facility. This can cause them to be haphazard with their documentation for their patients. It is important to educate physicians about the importance of accurate records to the medical billing department. With rising healthcare costs, carriers are becoming much less lenient on treatments and procedures being covered. They also have become sticklers for accurate medical billing documentation submissions. If there is anything incorrect on a claim, it gets sent back to the provider without payment. There are many evaluation and management claims that …
When to Use 59025
The time to use 59025 to code a fetal non-stress test is when the patient records that she has felt the baby moving. If not then the fetal monitor is counted as routine. When you use the code 59025 for the fetal non-stress test for NST procedures you must make sure you are using them correctly. How that happens is that during the NST procedure the ob-gyn evaluates the patient and evaluates the well being of the fetus with out the use of IV medications. The test lasts for approximately 30-40 minutes, and the ob-gyn monitors the heart rate of the fetus using external transducers. If the NST is reactive …
Separate Billing Equals Better Reimbursements
The Centers for Medicare & Medicaid Services has improved medical billing reimbursement for Medicare patients. Currently, if your practice does medical billing for a Medicare exam on a newly 65 patient, you can also bill for cardiovascular screening tests and diabetes screening tests. The Centers for Medicare & Medicaid Services realizes that separately billing for these screening services may seem incorrect. For this reason they are sending out plenty of medical billing information to explain how to bill for preventative care in the future. For instance, one of the things physicians can bill for separately is diabetes screening tests. As long as one risk factor is established and two of …
Are Your Using the Common Working Files With CMS?
The biggest medical billing problem is getting denied payment for a claim. A service for which many patients are denied is smoking or tobacco-use cessation counseling. Payers have a hard time paying for this service. The patient either has no coverage, or is only allowed a certain amount of counseling sessions for the smoking cessation purpose. What happens if another physician has already done medical billing for these counseling sessions? Chances are, you would not get paid. The centers for Medicare & Medicaid Services have come up with a medical billing solution to let you know how many sessions a patient has already used. Let’s say you know your patient …
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