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
Medical Billing Explained
If you’re researching becoming a medical biller, it is a fantastic career with a great future. Basically a medical biller takes the documentation provided by their client (a doctor or hospital) that has rendered services to a patient and is looking to get reimbursement for those procedures and services from the patient’s insurance company. The medical biller’s job is to submit the claim to the carrier (insurance company) and get their client (the doctor or hospital) a reimbursement. The medical biller will have to make sure the claim is properly coded. This means that each procedure and service has a numerical code assigned to it. Those codes must be logical …
What’s So Great About Electronic Medical Billing Claims?
In short – everything. This is one of the few scenarios where there truly is no downside. Medicare alone receives more than 500 million claims on the average per year and they only accept electronic medical billing claims. Filing your medical billing claims or having them filed electronically by your medical billing partner will cut your turn around time on your reimbursements from an average of 90 days for paper or self filed claims to about 14 days for most claims. That alone should be enough to encourage you to outsource your medical billing. Electronic claims will enable you to create a revenue stream that you can count on and …
Have the Diagnosis In Your Documentation
One of the biggest ways that physicians lost out on reimbursements is through poor documentation. Offices get hectic, notes you intend to make don’t get made and sometimes your medical billing claims get submitted to the carriers for reimbursement without the proper documentation. First and foremost, there must be a diagnosis of the condition or disease for the patient. From that it must extend the services rendered in conjunction with the condition or disease and the medical documentation explaining why the services were performed. Only the physician can state the diagnosis for the patient, even with test results that clearly show for example a patient was diabetic, the person doing …
Avoid Fee Reductions in Your Medical Billing
If you have multiple endoscopic services that were rendered during one surgical session, make sure that you determine if the procedures were all part of a “parent” procedure. If that is the case, you can not bill for different endoscopes, you must put them together as one service or you run the risk of having the carrier impose a fee reduction on your medical billing claim. The parent code must be included in the medical billing and be sure to include your documentation of medical necessity to insure that your medical billing claim gets paid in full and not a reduced reimbursement or worse, an outright rejection. If other endoscopic …
Problem Free Medical Billing
Did you know that you could have absolutely seamless medical billing claims? No more hassles with keeping up with the changes in coding and no more keeping up with the paper chase that a lot of filing medical billing claims has become. All you have to do is outsource your medical billing. Your medical billing partner will take care of the making sure there is a logical flow of billing on your medical billing claims, as well as following up to make sure that you get the maximum reimbursement of all your claims. Many physicians unknowingly give away thousands upon thousands of dollars each year through undercoding their medical billing …
