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

Which Software is Right?

Medical billing firms are only as good as the software tools they utilize. There are various software programs available to assist your practice with various aspects of the medical business. Three of the most useful and cost effective software programs for medical billing are Medisoft, Lytec, and Medinotes. Click to read more about medical billing software

Published By: Melissa Clark, CCS-P on September 21, 2005

Look Twice At Your Bilateral Modifiers

Look Twice At Your Bilateral Modifiers Medical billing bilateral modifiers give billers much headache. Not only are bilateral modifier procedures for medical billing complicated, but they are different for each insurance company. Medical billers must check and double check bilateral modifiers in order to receive payment. It’s true, many payers will not pay claims unless they are in the format in which they require them to be. Unfortunately, each and every payer can have a different medical billing requirement for each and every procedure. Bilateral modifiers are some of the most complicated subjects for medical billers. Modifier 50 is a bilateral modifier. For example, if someone gets eye surgery on

Published By: Melissa Clark, CCS-P on September 21, 2005

Can You Use 90784 for ED Injections?

Can You Use 90784 for ED Injections? When performing medical billing for emergency department visits, there are several methods one must follow to ensure full payment. Emergency department injections by a physician and the use of current procedural terminology code 90784 usually brings up many questions. The medical billing question of when to use CPT code 90784 usually becomes an issue when a hospital supplies an injection or antibiotic to a patient. Many medical billers believe 90874 should not be used in this situation because the physician has not actually purchased the drug, just administered. In all actuality, 90784 means- therapeutic, prophylactic, and diagnostic injections; intravenous. It is totally appropriate

Published By: Melissa Clark, CCS-P on September 20, 2005

October 2005 Medicare Won’t Honor Paper Claims

October 2005 Medicare Won’t Honor Paper Claims Medicare has big changes for claim medical billing practices! As of October 1, 2005 Medicare will no longer be accepting paper claims or non-compliant electronic claims. If providers do not follow these guidelines, the Centers for Medicare & Medicaid Services will return a claim unprocessed with orders to submit with the correct medical billing guidelines. Take some relief in knowing that this can save your practice money. First of all, paper medical billing claims are not cost effective for your practice. Postage is necessary as well as the cost of paper. Electronic claims don’t have these added costs. Another benefit to electronic medical

Published By: Melissa Clark, CCS-P on September 20, 2005

Must A Pediatrician Take A Patient’s History?

Must A Pediatrician Take A Patient’s History? When running a pediatric office there are many questions that come into play with medical billing. It may seem simple for any personnel to ask a few questions and take a patient’s history, but medical billing regulations may actually dictate who is allowed. In all actuality, it is safe practice to allow any office member to take the review of systems and the family social history. These two evaluation and management history elements can actually be taken by absolutely anyone. It is ok in medical billing for a parent or a secretary to take down this information. The only requirement is that it

Published By: Melissa Clark, CCS-P on September 19, 2005