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
ADD/ADHD Medical Billing Reimbursements
Attention providers, are you getting reimbursed for your medical billing ADD medication rechecks? With the rise of ADD/ADHD in America, it is very important to medical practices to understand how to get paid. When dealing with mental health diagnoses, you walk a fine line with most insurance companies. There is one way most payers will reimburse your ADD/ADHD medical billing. Most physicians like to code ADD medication rechecks with the 90862 medical billing code. This code means, pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy. Although there is no problem using this CPT code with the diagnosis 314. (Hyperkinetic syndrome of childhood), …
Avoid Fraud and Abuse Charges With Careful Gainsharing
Gainsharing may be beneficial for your bottom line in medical billing, but it raises a lot of suspicion for the Centers for Medicare & Medicaid Services. The HHR Office of Inspector General believes gainsharing can be questionable because it can violate anti-kickback policy, and the Stark Law. The Office of Inspector General states there are three fraud safeguards to use when using gainsharing medical billing. First, when utilizing gainsharing arrangements, you should be sure your organization promotes accountability. If you are accountable for your policies and medical billing procedures, you look a lot less suspicious. Another gainsharing safeguard to use is to limit any payment that could change referral patterns. …
Correct Diagnosis and Dressing Medical Billing And Coding
The correct medical billing code for attending to surgical sutures is fuzzy. Currently the regional home health intermediary is closely examining the use of the code V58.3 (attention to surgical dressings and sutures). Medical billing constantly changes and the close examination of V58.3 is a perfect example of this statement. The medical billing question is whether or not V58.3 is a suitable primary diagnosis code. The Regional home health intermediary is pulling claims with this diagnosis code and reviewing them for medical necessity. The decision on how to use V58.3 correctly in medical billing will be released once the examination is completed. Since changes to procedures and policies are quite …
Be Aware of New Down Syndrome Screening in Your Medical Billing
Constant changes in medical care means constant changes in the medical billing world. One area of medicine that is constantly analyzed and improved upon is that of prenatal care. A new screening test for Down Syndrome may give parents sooner knowledge of their baby’s condition. Medical billing must always reflect the current changes in medicine. The new test for Down Syndrome allows mothers to get their fetuses tested in the first trimester of pregnancy. This test includes a blood sample and an ultrasound. That means your medical billing codes need to accurately reflect the new services provided. Apparently, the new Down Syndrome screening method more accurately diagnoses the disease than …
The Government’s Attempt at Simplifying Medical Billing
Although you may think so, the federal government is not out to get your medical billing department. The government has been and is making conscious decisions that will positively impact the way you go about your business. The goal of the Department of Health and Human Services (HHS) is to make your medical billing as efficient as possible. The Department of Health and Human Services realize that there are some medical billing regulations in place that may hinder your efficiency and quality of care. They want your practice to be as profitable as possible while you give the best care as possible to your patients. With current medical billing regulations, …
