Medical Billing Blog with Medical Billing & Coding Info & Articles
Our blog contains news and articles relating to numerous healthcare sectors including revenue cycle management, medical billing, medical coding, ICD, HIPAA, practice management functions and more.
Avoiding Claim Denials For AMCC Tests
Avoiding Claim Denials For AMCC Tests When billing with medical modifier codes for automated multi-channel chemistry it is important to bill correctly to prevent denial. When a patient has end-stage renal disease it is important to use the 50/50 medical billing rule. This rule requires automatic multi-channel chemistry tests to be correctly identified on claims. Recently, the Centers for Medicare & Medicaid services has decided to deny laboratory claims that do not comply with this rule. The correct medical billing modifier for an automatic multi-channel chemistry test is required in order to prevent this denial from occurring. This is required when ever a medical end-stage renal disease facility or a …
Update Your Reporting Method To Medicare
Update Your Reporting Method To Medicare or Face Denials Times are changing when performing electronic medical billing to Medicare. Beginning on August 1, 2005, noncompliant electronic claims billed will be denied. These billed medical claims must be compliant with the Health Insurance Portability and Accountability Act (HIPAA). Currently there is a medical billing contingency plan in effect that does accept these noncompliant claims, but that will soon end. In order to ensure the most efficient payment possible, submitting compliant electronic claims is recommended. Otherwise, the Centers for Medicare & Medicaid Services will send the claim back to you unprocessed and with no payment. To get medically reimbursed for this billing, …
Medical Billing Denials – Matching Your Place of Service
Avoiding Medical Billing Denials – Matching Your Place of Service Place of service codes are very important when performing medical billing. The place of service code will determine whether or not your practice is paid for services rendered. There are several different current procedural terminology medical billing codes that bring about confusion when choosing a place of service code. Many times when billing for home services, medical providers get confused as to which place of service code to use. The only time the actual place of service “home” should be used is in a patient’s apartment, house, etc. In this case you would use place of service code 12 for …
Outsourcing Your Billing for Chiropractic Services
Outsourcing Your Billing for Chiropractic Services You have a thriving Chiropractic practice. You have loyal patients who appreciate your services and recommend you to their associates and in turn your practice grows even larger. Soon, your in office staff is spending so much time answering phones and patient’s questions, you find your medical billing is being submitted later and later and your reimbursements are happening slower and slower. Worse, your staff is so busy sometimes they are not coding your medical billing properly, it’s not that they don’t know, it is just that they are so busy there isn’t time to keep up with the fast paced changes in the …
DME Pre-approval
DME Preapproval Durable Medical Equipment refers to wheel chairs, braces, shower chairs and other assisted living equipment are generally are purchased as an outpatient. It really does not matter if your patients are insured through Medicare, Medicaid, Workers’ Compensation or through a private insurance carrier, nearly all DME claims must be preapproved prior to submission of the medical billing claims. Many of these policies have strict guidelines that must be followed in order for the DME medical billing claim to be paid. Some providers will require that the DME be purchased through their own sources and have a listing of specified providers. Many HMOs are very narrow about the DME …
Medical Billing For DME
Medical Billing For DME DME stands for Durable Medical Equipment. A DME or HME (Home Medical Equipment) Billing Service is a specialized form of medical billing. Make sure your medical billing vendors have these capabilities. DME medical billing covers a very broad spectrum of medical billing types such as wound care billing, infusion therapy, diabetes supply, mobility therapy, and respiratory care. If there is special equipment needed for on-going care of the patient, such as diabetes testing supplies or a scooter, the medical billing company will code and submit those DME claims for you. The way it works is very simple. You diagnose a patient’s needs as far as any …
Medical Billing Service Marketing: Help Your Business Grow
Medical Billing Service Marketing: Help Your Business Grow Entering the field of Medical Billing Service can be lucrative and exciting, but it can also be overwhelming if you don’t know how to market your services. If you are one of the many who have discovered the vast opportunities available in the Medical Billing Service industry, congratulations! Now let us show you how to increase your earning potential by employing effective marketing strategies. If you have already started your online Medical Billing Service, it may not surprise you to know that over 7,000 Health Care Providers still file insurance claims on paper, costing them time, money, and accuracy. Your market waits …
Advantages and Disadvantages of Both Outsource and In House Billing
If you are wondering about in house medical billing versus outsource medical billing – advantages and disadvantages, you should consider yourself very smart for wondering about the two options, and figuring out which one would be best for you. Outsource medical billing will allow physicians to really focus on the truly critical and needed care of the patients. With all of the constantly changing insurance rules, makes everything more difficult to do in house medical billing. On the other hand, in house medical billing gives many people the freedom of control and choice. You may need to go through more complicated steps with in house medical billing, but some people …
Medical Billing and Coding: Two Different Skills That Work Together
There are two critical administrative procedures that occur after you have received medical treatment. These are medical billing and coding. Performed by trained specialists, these are the processes that ensure your doctor bills you correctly for the services rendered and that information about your treatment is accurately represented to your insurance company for the purposes of reimbursement. Medical billing and coding are actually two separate skills that lie at the core of the reimbursement system for physicians. Medical coding requires extensive training and experience. Each item of your medical treatment is converted into a code before it can be entered into a computer. Whether it’s a short or long office …
Ready for your Medicare Site Visit?
Securing a Medicare provider number is a priority for any new practice. Properly submitted electronic Medicare claims can turn to cash in 21 days and can help establish a predictable cash flow. Part of the approval process includes a site visit and presentation of “QID’s” such as #14120: DOCUMENTED BILLING PROCEDURES that states “Sound practice management provides for defined billing procedures and reference materials as a component of increased accuracy.” When you engage a billing and coding company make sure the support team you choose is familiar with all Medicare procedures including the all-important site visit and the information required and presented during the visit. A company that is familiar …
