Medical Billing Blog with Medical Billing & Coding Info & Articles

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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.

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What billing methods put your practice at risk?

What billing methods put your practice at risk? There are several illegal medical billing practices that could get you charged for fraud or abuse. Millions and sometimes even billions of dollars each year is lost to fraudulent medical claims. Every one of us pays for it in some way or another. This article is meant to alert you of fraudulent medical billing practices so you can prevent them from happening in your practice. One common fraudulent medical billing practice is when services and procedures are billed for but were never provided. You may think, “How can a practice get away with this? Wouldn’t the patient know?” Since absolutely everything a

Published By: Melissa Clark, CCS-P on September 7, 2005

How Is Medical Billing Generated?

How Is Medical Billing Generated? So, you’re not feeling well and you have tried all your home remedies and nothing is improving your illness, so you give in to go see your regular doctor. You go to the office and give them your insurance card and wait your turn to be called. Already you’re generating work for a lot of people and you don’t even know it. Your insurance card information is pulled up and a new medical billing form is created. No matter what procedures are rendered to you today, it will be documented in the form of numbers, called CPT codes, on your medical billing form. If you

Published By: Melissa Clark, CCS-P on September 7, 2005

Using 92552 Correctly To Avoid Fraud Charges

Using 92552 Correctly To Avoid Fraud Charges Medical billing companies for audiology practices have long struggled over when to use the cpt codes 92552 versus 92551. 92551 means: screening test, pure tone, air only. 92552 means, pure tone audiometry (threshold); air only. You may be thinking, “What’s the difference?”. By definition, the difference between the two cpt codes is slight, but when medically billing these codes, it is huge. To avoid fraudulent charges, correct billing of 92552 is necessary. First we will begin with what it means to use 92551 in medical billing. Simply put, an audiologist places headphones on a patient. Then the doctor sets the machine at a

Published By: Melissa Clark, CCS-P on September 6, 2005

How Can Medical Billing Benefit Your Practice?

How Can OMG Medical Billing Benefit Your Practice? Medical billing is a complicated process, that if not done correctly, can lead to a loss of revenue and underpayment. Outsourcing medical billing can help eliminate some of these losses. There are several benefits to using a medical billing company. It has been said that 30% of all medical services are never reimbursed to the health care provider. This is due to poor follow-up to insurance companies and to patients themselves for medical practices. Too often, medical office personnel are stretched to their limits. They are responsible for medical billing, advertising, scheduling, and customer service. Medical billing companies can alleviate some of

Published By: Melissa Clark, CCS-P on September 6, 2005

Top Medical Billing Claim Submission Errors

Top Medical Billing Claim Submission Errors If you’ve only been doing medical billing for a short period of time or you’re an old hat at it, you know that handling Medicare medical billing claims can be tricky. A recent study from Medicare identified the top medical billing claim submission errors and addressed them. Most of these are due to medical billing claims being filed in house in the physician’s office direct to Medicare. If a physician outsources their medical billing, they will see their rejection and denial rate drop to less than 1% in most cases. Homebound patients make up a large part of Medicare claims and the simple lab

Published By: Melissa Clark, CCS-P on September 6, 2005