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
Radiology Claims Continue to Rise
Radiology claims are on the rise and there are two types distinct types of radiology claims, evaluation and management. Both are valid reasons for radiology and both need to be reimbursed, however you need to make sure that your documentation backs up the coding that is used in your medical billing claim. Radiologists can perform several types of services. One of these services is an evaluation and management session. When doing medical billing for a radiologist it is important to make sure a session meets three categories before coding it as evaluation and management session. The three categories are: request, render, and report. The first necessary element for a radiologist …
Using POS 21 In Your Medical Billing
When processing medical billing for hospitals, location of services is everything and you must be certain that the correct place of service coding is used. That is where code 21 comes in handy. Place of service code 21 is used in medical billing for all inpatient hospital care. Admittance of a patient to the hospital will make it necessary to use the inpatient hospital POS code 21. Many medical billers get confused when the emergency department comes into play. They question whether or not they should use place of service code 23 for emergency room-hospital, or place of service 21 for inpatient hospital if a patient is admitted from the …
Special Needs Indirect Supervision Procedures
When a staff member stands in for a pediatrician and performs a low level service also called a Care Plan Oversight, how that reimbursement works for those procedures can be confusing. In order to correctly bill services, there are certain policies that should be followed. The steps for billing indirect supervision can be broken down into the three basic steps. Getting the coding right is the first step. The medical billing current procedural terminology codes 99375-99380 should only be used in certain instances. These codes represent non face-to-face visits by pediatricians for special needs children. There are firm instances when it is acceptable to do medical billing for this care …
Does Your Staff Find the Hyphen Regulations Confusing?
The hyphenated codings have been removed from coding alerts. The American Medical Association has removed the hyphen from all coding manuals and the CPT Assistant. However even though the hyphen is no longer used in the manuals, whether or not your staff chooses to use it in their medical coding is solely up to them. It will not affect how your medical billing claims are handled. Initially, the medical billing modifier hyphen was used in AMA publications for formatting purposes. It was supposed to ensure that people didn’t confuse the modifier with the rest of the current procedural terminology code. It was also to let people know that the number …
Medical Billing Dilemma – When to Use Fetal NST Code 59025
It is better to make sure the patient recorded when she first felt the baby moving; otherwise, it is better to count the fetal monitoring as routine. When you report a 59025 Fetal Non-Stress Test for NST procedures, you need to be sure you are reporting them in the appropriate situations. During an NST procedure, the OB-GYN evaluates the patient and assesses the well being of a fetus without using IV medications. The test usually lasts about 30-40 minutes, during which the OB-GYN will monitor the fetal heart rate using external transducers. A “reactive” NST will show that the fetal heart rate accelerated from the base line fifteen beats per …
