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
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 …
Magical Modifier 25
Modifier 25 is a medical billing code used to indicate extra work for a medical service or procedure. There are three simple steps you can use to learn how to correctly use the medical billing modifier 25. The first medical billing step to correctly use modifier 25 is to only report the most significant services provided during the visit. When reporting an Evaluation and Management exam, it is very difficult to perform a service that is separately billable. Most things are covered under the evaluation and management, including injections and tests. In order to correctly append the medical billing modifier to a procedure, it must be very significant. The next …
Proper Usage of Code 58679
Even with the reams of information and thousands of codes, 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 part of a treatment for polycentric ovarian syndrome? 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 and would receive most likely a very reduced reimbursement or an outright denial of the medical billing claim. The definition of transposition is when an ovary is moved due to radiation therapy. Since radiation therapy is …
Thinking about a Career in Medical Billing?
Doctors are very busy these days treating patients in their offices, attending to surgeries, making their hospital rounds and answering important phone calls. They simply do not have the time to attend to the financial aspects of running a medical practice. Aside from nurses, receptionists, physician’s assistants and technicians every well-trained staff has at its core key people specifically designated to medical coding and billing. It shouldn’t be a surprise that there is an explosion of career opportunities in medical coding and billing. Estimates chart the growth of medical billing and coding careers at over 65% within the year 2005. This surging demand for specialists in this area accounts for …
If You’re Considering Hiring a Medical Billing Consultant
Physicians who need help managing billing in their offices may want to consider a company that specializes in medical billing consulting. Medical billing services help doctors get paid from insurance companies. But medical billing consultants often go a step further, and help doctors manage all their finances, from billing, to accounts receivable, to collections. Some medical billing consulting services work on-site as part of the practice management team. Others work off-site and only come into the office as needed to analyze what needs to be done. Many help to train employees to better handle billing, coding and reimbursement issues. They may also help to analyze workflow in doctors’ offices, to …
