Medical Billing Blog with Medical Billing & Coding Info & Articles
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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
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The Blog Currently Contains 1,265+ Healthcare Articles
The Best Way to Handle EOB
The goal of any medical billing firm is to receive a correct check and correct explanation of benefits (EOB) from an insurance company. Sometimes this is easier said then done. Many times the EOB goes one place and the check goes another. There are two basic ways this can be handled: The first method is an example of a practice that compiles their own medical billing. In this case, it is beneficial to make sure a check and EOB are sent to the practice. This prevents future problems with remainders owed. It also makes sure the physician gets paid, instead of having a check sent to the patient and hoping …
When to Use 99324 in Your Medical Billing Claims
When doing medical billing for rest home care, there are many common pitfalls. Many coders bill four at home services or nursing home services when rest home care is performed. Incorrect medical billing coding such as this, could get you into trouble. The new medical billing CPT codes for 2006 address specific guidelines to follow for rest home coding. The place of the service is a big issue when dealing with the rest home services. Rest home, or custodial care facility is labeled as a POS 33. This is defined as a facility that provides room, board and other personal assistance services generally on a long-term basis. There is a …
Auditory Rehabilitation Receiving Medical Billing Reimbursement
The Centers for Medicare and Medicaid Services have recently made it known that the reimbursement for procedural code 92626 is going to be seeing increases by a rather large amount. To clarify a little bit further, the reimbursement to providers for such a procedure will come in at approximately four times the amount being received currently. This should make any of the providers of language, speech and hearing much happier when it comes to medical billing. This entire thought of reimbursement may be a lot clearer if it is broken down a bit. For example, the code 92626 which is known for the description of Evaluation of Auditory Rehabilitation Status; …
Tightening the Reigns on Medical Billing Claims
It has recently come to the attention of the Cahaba GBA Regional Home Health Intermediary that it is necessary to tighten the reigns on medical billing claims. Therefore, a study has been underway to try to find out exactly why certain claims have been denied. Through the course of this study, there have been a good number of findings to show that there have been denials of various diagnosis codes within the medical billing process. Further studies by the Cahaba GBA have revealed that a large amount of the denied claims had actually shared the same diagnosis codes. Included in the list of diagnosis codes that are often denied are: …
Medical Billing Modifier 59 Has Been Causing Trouble
Recently, the contractors for the Centers for Medicare and Medicaid Services have been on the lookout for any modifiers that have been used incorrectly. The cause for alarm is that it has recently been shown that even though modifiers are a great asset to medical billing, there are a select few modifiers that are not used in the proper fashion. Of all of the modifiers that have been used incorrectly from time to time, the one that has seemed to have been the most questionable is modifier 59. Now, this is not just any random investigation just because there have been a few problems. Studies by the U.S. Office of …
