Archive for the Week of October 6, 2006

Archive for the Week of October 6, 2006

Welcome to the medical billing blog archive for the week of October 6, 2006.

Here you will find links to every article added to the Outsource Management Group web site during the week of October 6, 2006.

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

The Upcoming Changes to Power Mobility Devices are Clarified by CMS

Power mobility devices (PMD) have become a very big business and also given patients a new lease on life by being able to get around in an easier fashion. Previous reports had stated Medicare would no longer pay for PMD devices, however Medicare will still pay for a Group 2 power mobility device (PMD) when appropriate according to a memo released by the Centers for Medicare and Medicaid Services. A fact sheet released by CMS on Sept. 20 clarifies this as saying many facilities misinterpreted that medical billing claims for PMD devices would not be paid, however that is not correct. When the new statues went into effect on October

Will Outsourcing Your Medical Billing Get Your Claims Paid Faster?

You bet it will. Outsourcing your medical billing is a big decision but it is also a very smart one. You are not only freeing up your staff to help run your busy practice, you are allowing the professionals whose sole business is to keep up with the fast paced and ever changing coding and regulation changes in our industry, take care of all of your billing and coding needs. You have a busy practice, your staff is busy servicing patients and generally doesn’t have the free time to devote to seeing what claims were paid and only partially paid. Your medical billing outsourcing partner has the knowledge, experience and

Medical Billing Dilemma – Break Out Services for Medicare

Did you know that you might be missing a full reimbursement for well-woman care if you’re not breaking out the breast exam and pap smear? If the medical billing claim is for a well woman exam; in almost every instance, Medicare will allow you to break out the claims and get reimbursement for both services. If the physician provides a complete well-woman exam for a Medicare patient, you should report G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination) for the breast and pelvic exams. When the physician also obtains a Pap smear, use Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to

Elements to Get Your Ob-Gyn Ultrasounds Paid

A type of medical billing claim that prompts a lot of confusion, is the ultrasound. Nearly three-quarters of women will undergo at least one ultrasound during their pregnancies, normally between 18 to 20 weeks gestation. In fact, the American College of Obstetricians and Gynecologists (ACOG) maintains that one complete ultrasound should be included as a part of routine obstetric care. Knowing whether to code as a routine ultrasound or detailed ultrasound – check the reasons why it was done. One confusing point is when a patient is suspected of having abnormalities of the uterus or placenta; an ultrasound can determine whether or not further medical intervention is necessary during the

Medical Billing for Type A Medicare Claims

Type A Medicare claims are not uncommon, however making one medical billing mistake with a Part A claim can cost thousands of dollars. Type A claims should almost always be consolidated billing. Here are some basic tips you should follow when doing consolidated medical billing for Type A claims. There are several medical billing charges that should be excluded when it is a hospital providing the service to the patient. The Centers for Medicare & Medicaid Services gives this list to exclude: computerized axial tomography scans, ambulatory surgery in the operating room, MRI, cardiac catheterizations, radiation therapy, angiography, emergency room services, venous and lymphatic procedures and ambulance services related to

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