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.
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The Blog Currently Contains 1,265+ Healthcare Articles
New Patients And Old Patients – Medical Billing Differences
New Patients And Old Patients – Medical Billing Differences There is a lot of confusion in many physician’s offices on how to handle the coding & medical billing of services rendered to an old patient and a new patient. New patient medical billing requires a lot more work than an established patient and this is reflected in the new coding requirements as well as reimbursement for your medical billing. One key to differentiating between new and established patients is understanding two terms used in CPT’s definition of a new patient: “professional services” and “group practice” and the understanding that Medicare’s definition of a new patient is slightly different than CPT’s. …
ICD-9 vs. CPT Coding
ICD-9 vs. CPT Coding In the world of medical billing, coding of the medical billing forms actually requires the use of two coding systems, one that identifies the patient’s disease or physical state (the International Classification of Diseases, 9th Revision, Clinical Modification, or ICD-9-CM, codes) and another that describes the procedures, services or supplies you provide to your patients (the Current Procedural Terminology, or CPT codes). To differentiate between these coding systems, think of it this way: CPT codes describe what services you perform, and ICD-9 codes describe why you do it. Each service you render to a patient becomes a line on an insurance claim form. Your level of …
CPT Code 99211 In Medical Billing
CPT Code 99211 In Medical Billing Understanding when to use CPT code 99211 on your medical billing can boost your practice’s revenue and improve documentation which will result in greater returns on your reimbursements. Qualifying for 99211 service on your medical billing is not too hard, the patient simply must be established, and an E/M service must be provided. Additionally, the service must be separate from other services performed on the same date and neither the presence of a physician nor any documentation of key components are required as part of the documentation for the medical billing. Another use for Code 99211 is patient education, simple rechecks, medication reviews and …
ICD-9 Coding Accuracy In Your Medical Billing
ICD-9 Coding Accuracy In Your Medical Billing When you talk about the procedures you do and services you perform for your patients, you have words to describe what you did: patient eval, Pap smear, sinusitis. When third-party payers examine and refer to the work you do, it’s simply broken down into numbers. Almost every medical condition, service and supply can be identified by a numeric code, primarily because Medicare and other third-party payers require numeric coding on claim forms. They set the payment rules, based on these codes so the proper coding must be used so your practice can be reimbursed for your services. It’s not easy to being fluent …
Top Five Types of Service Most Frequently Appealed
Top Five Types of Service Most Frequently Appealed A recent study conducted by Medicare showed that the top five types of services submitted on medical billing forms for payment fell under the following five catagories. Evaluation and Management – 99200-99499;Pathology & Laboratory – 80000-89399,G0001,P0000-P9999;Radiology – 70000-79999, G0130-G0133, G0236;Ambulance – A0000-A0999;Chiropractic Manipulative Treatment – 98940-98943.Most of these claims were submitted directly by physicians’ offices and not by medical billing firms. As you are aware, evaluation and management, pathology and laboratory and radiology services are all high volume procedures but with the levels frequency for these procedures the medical billing should be able to be more streamlined for most offices. Your medical …
