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
Outsourcing Your Medical Billing Claims for DME
Outsourcing Your Medical Billing Claims for DME Medical billing for durable medical equipment (DME) is one of those sticky situations for a lot of medical billing companies. Many times the DME must be preapproved and noted as such on the initial medical billing or your practice may or not get reimbursed. A lot of DME claims that go unfairly unpaid to a lot of practices because there is a definite learned criteria for submitting and getting these types of medical billing claims paid. As you are well aware, Medicare claims for DME (both primary and secondary claims) can involve extremely time consuming and manual filing process for most medical billing …
The First Part of Medical Billing: Medical Coding
The First Part of Medical Billing: Medical Coding Many people think medical coding and medical billing are the same thing, as you in the industry know, they are part of the same process but are very different. Medical coding is where it begins, the services are rendered and the standardized insurance codes that correspond to that service are recorded on a medical billing form. The codes can be changed/added to/or removed many times in one year and if an outdated code is used, it can cause your medical billing claim to be rejected. If incorrect coding or under/over coding is used, you can be setting yourself up for an audit. …
Pre-certifications In Medical Billing
Pre-certifications In Medical Billing In many cases, a rejected claim by a carrier is due to the pre-certification requirements not being met. Many times, procedures will need to be pre-certified by the carrier prior to services being rendered or the carrier simply will not honor the medical billing claim when it is filed. One way to cut down on your claim rejections, is to have your staff document when they call for a pre-cert when a patient needs a procedure performed.Have your staff fill out a pre-cert form and call about the procedure for the patient and get the date,time, phone number and extension and full name of whomever gave …
Outsourcing Your Medical Billing In Utah
Outsourcing Your Medical Billing In Utah If you’re a physician in Utah and you’re thinking about outsourcing your medical billing, you’re making a very wise decision. With the advent of the internet, electronic claims submissions, and secure port to port transmissions, you are no longer only able to use a local Utah medical billing company. In fact, the best vendor for your practice may not even be located in your State! Find out what services your medical billing partner can provide for your offices. Finding the right fit for your practice will go miles towards making you happy with outsourcing your medical billing. Your staff will reap big benefits too. …
Medical Billing and Revenue Codes
Medical Billing and Revenue Codes Not all medical billing is generated from physician’s services. Sometimes services are rendered to patients and the medical billing created from those procedures need to be submitted to the various insurance carriers, but they also need three things: a price, a procedure code, and a revenue code. Revenue codes indicate to the type of service that you are billing for; revenue codes are 3-digit codes, and those revenue codes must match up with specific procedure codes to designate what services were rendered. For instance, if you are using a 360 revenue code, you’re stating that the services rendered were performed in the operating room, and …
