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
One Diagnosis Code
One Diagnosis Code? A situation that happens frequently in the medical billing industry is when a physician sees a patient, puts one diagnosis code on the form, yet multiple services were rendered. As detailed as medical coding is, in many cases, one code won’t cover the range of services the physician may have performed for the patient and portions of the claim will get rejected. Meaning the physician will only receive a partial reimbursement and the claim will have to be recoded covering the additional services originally not coded and the entire process can snarl up the repayment process for the practice. Most medical billing companies have a series of …
What Is Comprehensive Insurance Follow-up ?
What Is Comprehensive Insurance Follow-up ? Comprehensive Insurance follow up is a necessary part of the medical billing process, and it consists of three main components: 1. Correspondence – your medical billing partner will handle all the paperwork generated from your medical billing claim filings. Sometimes insurance companies ask for additional information or authorization reports. Your medical billing partner will take care of answering all these requests to get your medical billing claims processed. 2. EOBs – When a claim is paid in full or partially, you need to know. Your medical billing partner will post those payments accurately complete with an EOB so you know which claims are partially …
Still Unsure About Outsourcing Your Medical Billing?
Still Unsure About Outsourcing Your Medical Billing? A sobering fact that most medical practitioners don’t want to hear is that nearly 25% of all medical practice income is lost due to under coding, missed charges and claims that were missed or not properly reimbursed. That translates to hundreds of millions of dollars lost in revenue annually for the medical profession as a whole. Outsourcing your medical billing will allow your revenue to be collected and you will see a faster turn around on your claims. You could be receiving your reimbursement payments on your medical billing claims in 7-14 days as opposed to the 90-120 days you are probably used …
Outsourcing Your Medicare Medical Billing Claims
Outsourcing Your Medicare Medical Billing Claims In order to participate in Medicare, health care providers must:*Agree to file claims to Medicare on behalf of the patient.*Accept the allowed or approved amount of the claim as payment in full.*Write off any amount not paid by Medicare.*Make an attempt to collect the co-pay amount from the patient.*Accept assignment on all claims. If you are a physician that accepts Medicare patients, you are familiar with the billing and re-imbursement process and you know from filing CMS-1500 forms that it can take weeks for a claim that was manually filed to be handled and reimbursed by Medicare. Outsourcing your medical billing to a vendor …
The Business of Medical Billing For Psychiatric Claims
The Business of Medical Billing For Psychiatric Claims Psychiatric medical billing can be confusing for a lot of people, and many times improperly coded medical billing claims will result in the medial billing getting kicked back. Some standard billing codes for the Psychiatric industry are as follows: The “Initial Psych Eval” causes a lot of confusion. Normally the 45 – 60 minute initial evaluation is billed under CPT code 90801 (whether it is a psychiatrist, psychologist or therapist). Psychiatric testing is another coding nightmare for a lot of people, normally it is billed under CPT code 96100 (regardless of the “type” of test – the CPT code is always the …
