Medical Billing Blog: Section - Medical Billing

Archive of all Articles in the Medical Billing Section

This is the archive containing links to all articles written in the Medical Billing 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.

Medical Billing CPT found for Transposition of Ovary

Medical Billing CPT found for Transposition of Ovary There are many procedures in which there is no particular medical billing code to represent it. For instance, an Oophoropexy is usually performed for radiation therapy, but what if it were performed for polycentric ovarian syndrome? Is there a CPT code to represent this? Knowing your options is an important trait in the medical billing world. In the oophoropexy example above, some medical billing staff members may use the current procedural terminology code 58825 (Transposition, ovary). Unfortunately, they would be incorrect. The definition of transposition is when an ovary is moved due to radiation therapy. Since radiation therapy is not being performed,

Published By: Melissa Clark, CCS-P | No Comments

Medical Billing for Emergency Procedures

Medical Billing for Emergency Procedures Knowing when to use code 90782 in emergency department procedures can help with your medical billing reimbursements. For example, if a doctor examines a patient in the ED for an injury, and injects a preventative tetanus toxoid, your first instinct might be to use 90782 as a modifier for this procedure. But you would not receive a medical billing reimbursement because the incident to provision does not apply in the emergency department so you would not be able to justify having the doctor administer this injection. There would be no way to justify the medical necessity of such a shot. However, when you are in

Published By: Melissa Clark, CCS-P | No Comments

Medical Billing Denials During A Natural Disaster

Avoiding Medical Billing Denials During A Natural Disaster Several natural disasters in America have demanded a new medical billing policy. The insufficient relief effort after Hurricane Katrina made everyone want to proactively prepare, should another disaster occur. The healthcare industry has been no exception. A new medical billing condition code and modifier have been created for disaster related care for the present and future. The two new medical billing codes are DR (Disaster related), and CR (Catastrophe/Disaster Related). DR is a condition code and CR is a new medical billing modifier. All Medicare contractors must use the new codes on claims for August 21, 2005 and after. These medical billing

Published By: Melissa Clark, CCS-P | No Comments

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

Published By: Melissa Clark, CCS-P | No Comments

Update Your Reporting Method To Medicare

Update Your Reporting Method To Medicare or Face Denials Times are changing when performing electronic medical billing to Medicare. Beginning on August 1, 2005, noncompliant electronic claims billed will be denied. These billed medical claims must be compliant with the Health Insurance Portability and Accountability Act (HIPAA). Currently there is a medical billing contingency plan in effect that does accept these noncompliant claims, but that will soon end. In order to ensure the most efficient payment possible, submitting compliant electronic claims is recommended. Otherwise, the Centers for Medicare & Medicaid Services will send the claim back to you unprocessed and with no payment. To get medically reimbursed for this billing,

Published By: Melissa Clark, CCS-P | No Comments