Archive for The Year of 2009

Archive for the Year of 2009

Welcome to the medical billing blog archive for the entire year of 2009.

Here you will find links to every article added to the Outsource Management Group web site during 2009.

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

Bill One or Bill Twice for 97001/97002?

Patient evaluation codings can be very confusing. The patient initial evaluation code is 97001 (also, 97003, 92506, 92610) however if the patient is reevaluated (97002- patient reevaluation) within a 12 month period only one unit of service may be billed to Medicare Part B patients no matter how much time was spent actually servicing the patient. If you make a mistake and bill the carrier for the evaluation and a unit of service for the reevaluation, your claim will be denied based on incorrect coding no matter how much medical documentation you provide showing the necessity of the reevaluation of the patient. Keeping up with the fast paced changes of

Is It Time to Outsource Your Medical Billing?

If you are noticing your medical billing claims are taking longer and longer to be reimbursed or you are having denials, rejections, or only partial reimbursements on your medical billing claims, it may be time to look at outsourcing your medical billing claims. You may feel as though you would be giving up control of your cash flow when actually you will have more control than ever. In fact, outsourcing your medical billing and coding needs through a medical billing partner is one of the smartest business moves you can make. The best company to handle your medical billing isn’t necessarily located around the corner from your practice or even

Two Removals are Similar and Different

To avoid raised rejection of your medical billing claims for similar procedures that will be coded due to different removals or different parts of the body affected, you need to make sure you have iron-clad documentation. In some cases, you will come across two removals that are very similar, but different. For example, if a pediatrician removes an extra digit from a newborn’s hand, and also removes a skin tag from the newborn, the removal of an extra digit and the removal of a skin tag fall under the same CPT code but fall into different ICD-9 codes. For these two procedures, you should report 11200 (11200 is the removal

New HCPCS Medical Billing Tool

Your practice should know where to look for medical billing changes each year. When dealing with HCPCS consolidated billing, many billers become confused about what codes are excluded from this type of billing. Before allowing your staff members to do medical billing, be sure they know where to look for answers to their coding questions. The source to find consolidated HCPCS medical billing codes is no longer in the Centers for Medicare & Medicaid Services’ Skilled Nursing Facility Help File. Since September 25, 2005, CMS has tried to steer medical billing staff members away from this file. Now, however, it is more important to do so. A new website has

Watch Out for New Medical Billing DNA Test

Keeping current with your medical billing codes could help your lab succeed. New tests and lab works are developed each and every year. Some of these new tests have a positive impact on your medical billing, while others have no impact at all. A new test call Fluorescence Chain Reaction (FCR) may have an extremely positive impact on your medical billing. Fluorescence Chain Reaction is a brand new lab test that checks human DNA. The amazing aspect of this test is the short amount of time needed to retrieve results. This method takes less than five minutes to produce accurate information. Although insurance payers may be more familiar with the

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