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
Documentation is the Key to Getting Reimbursed
There are two major medical billing elements for critical care patients. If these two elements are missing, no or partial reimbursement will be received. In order to collect all the money you are entitled to, your medical billing must be accurate. The two most important elements in medical billing for critical care are time services were rendered and medical necessity requirements. Let’s face it, during emergency situations documenting times of services rendered on a patient is not the most important factor when dealing with a critical care patient. Patients are quickly moved into the emergency room, are quickly examined and treated as fast as possible. There are two main critical …
Get Correctly Reimbursed For Your Discography
There are many different rules about bundling your medical billing claims. Some codes are included with others, while different codes can be separately reimbursed. A discography is a procedure that brings up a lot of questions. In medical billing, the question about whether or not to code per region or per disc. This is one instance in which you may get more reimbursement than expected. The AMA (American Medical Association) states that you can report per disk when doing medical billing for a diagnostic discography. The code 72295 (Discography, lumbar, radiological supervision and interpretation) should be billed for as many disks as you treat. Even if the discography is only …
Continuous Care Medical Billing Claims Paid
If you have medical billing claims that include continuous care claims, be sure to meet the minimum requirements or your medical billing claim could get held up under review or worse – outright rejected. There has been a significant increase in the past 5 years of continuous care claims and those types of medical billing claims are being looked at on a closer level than ever before. The growth is legitimate as Americans are living to older ages than ever before. Watch the usage of modifiers when you’re billing for long-term care claims. There can be some issues raised with your claim if you use a modifier that does not …
Are You Still Using Confirmatory Consult 99271?
If you’re seeing denials of your medical billing claims for confirmatory consultation and you aren’t sure why it is occurring, the Current Procedural Terminology codes were eliminated in January 2006. This change affected the way many treatments were approached and the amounts that practices will be reimbursed. A confirmatory consult in medical billing is defined as a visit where one physician confirms the opinion of another physician. The current procedural terminology codes used are 99271-99275 (Confirmatory consultation for a new or established patient) for a confirmatory consult. This code range is now defunct. There are now two options in medical billing for coding a confirmatory consult. You should either report …
Proper Reporting for Medical Billing of Twins Delivery
If you have a medical billing claim to process that includes twins delivery and one was a traditional birth and the other a cesarean, you should report two codes. If both babies were delivered traditionally (vaginally), report only one code for both babies, as it will be considered one procedure. If there are no complications, the babies will both be born vaginally. You should report 59400 (Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps] and postpartum care) for the first baby and 59409-51 (Vaginal delivery only [with or without episiotomy and/or forceps]; multiple procedures) for the second baby. Your diagnosis code will be 651.01 …
