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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How is Medical Coding Different From Medical Billing?

How is Medical Coding Different From Medical Billing? Although the words medical billing and medical coding sound to be one-in-the-same, there are some integral differences that distinguish the two tasks from each other. When examining the differences between medical billing and medical coding, it is first important to understand what the two actually are. Medical billing is the process of submitting insurance claims forms from medical providers to insurance companies. In turn, healthcare providers get paid for their services rendered. A medical biller executes this plan. They know the ins and outs of basic insurance coverage and are the people who make sure healthcare providers get paid. This can be

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

Top 3 Types Of Appeals Filed In Your Medical Billing Claims

Top 3 Types Of Appeals Filed In Your Medical Billing Claims Filing appeals for your denied medical billing claims is never a fun affair. In many cases, these denials of claims could have been avoided completely with just a little bit of preparation with your medical billing claim. The number one type of appeal filed on medical billing claims was on claims denied due to diagnosis reasons. This can be due to incorrect coding, under or over coding and the biggest offender in this category dealt with medical billing claims that were coded using outdated codes. The ever changing world of diagnosis codes is not easy to keep up with

Published By: Melissa Clark, CCS-P on September 4, 2005

DOA One Of The Hardest Medical Billing Claims To File

DOA One Of The Hardest Medical Billing Claims To File When a patient dies en route or shortly after being admitted, coders and billers often struggle on the amount of, if any, procedures performed by the physician prior to the patient’s expiring. Here is a good example of how to code one situation: EMS contacts the ED for CPR direction, and is directed by the ED physician pertaining to defibrillation and medications. When EMS brings the patient into the ED, the doctor examines the patient and decides there isn’t cause to continue CPR and pronounces the patient dead. On your medical billing form, you would usually bill 92950 (Cardiopulmonary resuscitation)

Published By: Melissa Clark, CCS-P on September 4, 2005

Medical Billing For Types Of Medicare.

Medical Billing For Types Of Medicare. Medicare can be tricky to submit medical billing claims to. They require each and every line regarding procedures performs to be documented and noted on the medical billing form prior to submission. Failure to do so can get your Medicare medical billing claims only partially paid or worse outright rejected, and rejected medical billing claims not only stop your revenue flow back into your practice, it also ties up your staff with the duties of pulling patient files, checking the forms, refiling the medical billing forms, double checking the file to make sure everything is documented and then re-submitting the claim to Medicare. Another

Published By: Melissa Clark, CCS-P on September 3, 2005

Medical Billing Tips Consider Dermabond a Simple Closure

Medical Billing Tips Consider Dermabond a Simple Closure When filing your medical billing claims for laceration repairs. Most carriers recommend that you code Dermabond as a simple closure when preparing your medical billing forms. If the wounds are located in the same anatomical area you should add these wound lengths together and only report one simple repair code on your medical billing form. A good example of this is if a surgeon repairs a patient’s lacerations using Dermabond in three separate places on the left arm; in order to report the procedure performed correctly, you should choose the most accurate code from the 12001-12007 series (Simple repair of superficial wounds

Published By: Melissa Clark, CCS-P on September 3, 2005