Medical Billing Blog: Section - Audit

Archive of all Articles in the Audit Section

This is the archive containing links to all articles written in the Audit section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Demonstrating the Complexity of Care

SCENARIO: So, you are working at a multi-specialty practice that recently employed a urologist. As the Lead Medical Auditor and a member of the Corporate Compliance Team, you begin to worry about the chart audits as you have no members on your team that have worked within this specialty before. Take a deep breath – and remember that the largest volume of claims that the urologist will bill are E&M services. Regardless of the specialty of any medical practice, each will utilize Evaluation and Management (E&M) services in greater volumes than surgical services. Specialty-specific trained medical auditors are well versed in trudging through records to note the disease processes and

Deadlines: Regulations on HIPAA Compliance for Physicians

The deadline of September 23, 2013 has come and gone on the calendar. It was on this day the federal government enacted changes to the Health Insurance Portability and Accountability Act, better known as HIPAA. Medical physicians must be compliant with privacy and security and changes will include things like how to properly secure a patient’s health information or what you must tell a patient about their privacy rights. Medical physicians have 6 months to comply, and for many this is a difficult task to stay on so that the deadline is met. Compliance of the act includes the following updates to the regulations. Physicians must conduct a risk analysis

By: Melissa Clark, CCS-P, RT - CEO
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ICD-10 Preparation Steps and Tips for Medical Providers

As a Provider, ICD-10 preparation, and the subsequent upcoming transition can be a bit daunting. The first thing I recommend you do is to assign one individual to be the driving force behind the process and to oversee the details. This could be your coder, office manager, biller or anyone in your staff with the drive to make it as smooth as possible. Next, you should begin to develop your timeline. It’s important for you to have goals in place so that you can achieve your plan. One of the key elements you will need to do in your preparation is to identify the most common codes that your practice

By: Melissa Clark, CCS-P, RT - CEO
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Medical Billing for 92552 And You

Medical Billing for 92552 And You Performing medical billing for current procedural terminology code 92552 can be difficult to distinguish from 92551. These hearing tests are similar, but there are slight differences. When billing for these medical hearing tests, it is important to match chart notes with CPT codes. The medical billing CPT code 92552 means pure tone audiometry; air only. This is a hearing test that a physician uses when testing the limits of intensity for each frequency heard. This means, for each pitch, high or low, the physician sees what the patient can hear at the lowest intensity possible. When doing medical billing for this procedure, one must

By: Melissa Clark, CCS-P, RT - CEO
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Outsourcing a Dirty Word toYou?

The word “outsourcing” has become a dirty word for many physicians that have been burned by medical billing companies that either outsourced their claims to medical billing companies that use neither secure networks nor adhere to HIPAA regulation in order to maximize their profits; or the outsourcing company just turned out to not be reliable and it wound up costing the practice money to utilize their services. Don’t let a bad experience keep you from partnering with a legitimate medical billing company that can not only help you get your reimbursements faster but also realize great profits by maximizing every single medical billing claim that is filed to make sure

By: Melissa Clark, CCS-P, RT - CEO
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October Updates Are In Effect!

If you haven’t already, make sure that your staff is using the updated CPT codes that were released in October 2008. Not doing so can lead to kick backs that will require more staff hours to research, redo and resubmit and if this happens on a number of claims it can seriously affect your reimbursements and in turn – slow your revenue flow to a mere trickle. One way to avoid this dilemma is to outsource your medical billing and yes, there are some horror stories out there about outsource companies that threw away patient billing, had lax attitudes towards billing submissions and wound up costing the physician a lot

By: Melissa Clark, CCS-P, RT - CEO
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