Archive for The Day of August 10th, 2006

Archive for the Day of August 10th, 2006

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

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

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

Prior Authorization Can Get More Medical Billing Claims Paid

More and more often, medical billing claims that include saphenous vein ablation are getting very close scrutiny by carriers before reimbursements will be allotted. One of the biggest red flags is that most payers, including Medicare, will only cover payment for a very limited number of specific varicose-vein diagnoses. Samplings of the commonly and correctly reported procedures covered are as follows: * 454.0–Varicose veins of lower extremities; with ulcer* 454.1–… with inflammation* 454.2–… with ulcer and inflammation* 454.8–… with other complications. However, when these are reported correctly, you should have detailed documentation to why the procedure was needed and documentation of the failure of non-surgical treatments that were used previously

Pregnant Patient Transfer Easy On Your Medical Billing

Pregnancy medical billing is a rather straightforward process. That is, unless the patient transfers practices in the middle of her prenatal care. Pregnancy transfers scare many medical billing personnel, however if you can remember three tips, maternity transfers will be a snap. How you do medical billing for a maternity transfer all depends on how many times she was seen in the clinic. If she was seen 1-3 times you always want to code those visits as evaluation and management visits. One thing to keep in mind is that the first antipartum visit is not as straightforward as you may think. Always keep track of the level of service (level

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