Medical Billing Blog with Medical Billing & Coding Info & Articles
Welcome to the Medical Billing and Coding Blog
Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
2004-2024 Celebrating 20 Years of Healthcare RCM Articles
The Blog Currently Contains 1,265+ Healthcare Articles
Getting Rid Of Denial Claims For Well Visits
You should always pay good attention to what payers are perceiving when looking at your medical billing. Even though your practice may view the coding procedures a certain way, it is not always the case that your payer will understand them in the same fashion. It has recently been shown that there is a major discrepancy when it comes to dealing with the billing of the procedure code 96110. The fact is that this procedure code should never be lumped in with well exam codes, except for special circumstances. What can actually happen to cause problems is that the miscommunication between medical billing for your practice and the payers are …
Always Appeal Your Denied Medical Billing Claim
It is a well known fact that everyone is human and we are all prone to make mistakes from time to time. Often times, your medical billing personnel could end up miscoding an item just because they are not up on all of the latest rules regarding ICD-9-CM or CPT rules. Because of the chances for a miscoded item being so high, it is always important that you know how an appeal can help you when your medical billing claims get denied. You may already know this, but there are a good deal of practices that will actually lose a good deal of money every single year because they do …
Double Check Those Medical Billing Adjustments!
Your staff may be grumbling about the M0175 medical billing adjustments. The Centers for Medicare & Medicaid Services announced that all home health intermediaries are required to post their adjustments however the new adjustments were delayed in posting to the United Government web site and the CMS delayed the implementation of the adjustments. Your medical billing staff needs to check the website frequently to make sure you’re getting all the adjustments that are due, if you miss filing on an adjustment, you are literally throwing away money. If your in-house staff is overworked and having a hard time keeping up with the changes, new codes, deleted codes and the filing …
PHI – Is Yours Safe?
Billing and reimbursements are the life’s blood of any practice. They keep the offices up and running. Without proper claims submissions and payments, there would be no money to run the practice. PHI is a big element when submitting claims. Keeping PHI safe is important for your patients’ safety and the longevity of your practice. PHI information is confidential information that only your patient, you, and covered entities should have access to. This medical billing PHI would include a patient’s social security number, diagnosis, treatment plan, medical history, and other personal and pertinent information. Since the content of your medical billing claims is so sensitive, it is important to always …
Correctly Using POS Codes in Your Medical Billing
More and more carriers are cracking down on medical billing claims that have a lack of or incorrect place of service code. Even with the correct current procedural terminology code for E/M services, a medical billing claim that does not have a correct POS code will get your claim denied. It is a common occurrence in medical billing for the place of service codes to be misused or left out. There are several current procedural terminology codes for an evaluation and management session that correspond to different medical billing place of service codes. When using CPT 99341 (Home visit for the evaluation and management of a new patient) through 99350 …
