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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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Ready for October 2014? ICD-10 Resources to Help You.

It’s been a long time coming, but I am happy to say that we finally got our new website going this week. As a part of our Provider Resource Center we have compiled a list of ICD-10 resources to assists providers in their preparation for Oct. 2014. The ICD-10 resource list contains links from CMS, AMA and WHO, as well as many other national and regional organizations. We have about 310 days till ICD-10 takes full affect and I am going to bet that very few healthcare professionals are ready. If you haven’t, you should start preparing, check out this list and hopefully it will assist you in better understanding

Published By: Melissa Clark, CCS-P on November 24, 2013

New Hampshire BCBS Begins Participating with Medicare Part C & D

Medicare is a social health insurance backed and funded by the US federal government for senior citizens and for younger people with disabilities. Originally, beneficiaries of Medicare are provided with funding by the government itself, but with the inclusion of Medicare’s Part C, people can now opt to be covered through a network plan. While third-party health insurance agencies like the New Hampshire Blue Cross and Blue Shield Anthem exist for beneficiaries opting for Medicare’s Part C and D, why would anyone want to choose paying more for something the government offers at a lesser price? Medical Billing and Coding Process: Anyone who has ever been hospitalized and has filed

Published By: Melissa Clark, CCS-P on November 20, 2013

Pediatric Patient History – Who Can Take It?

Contrary to popular belief, it is safe practice to allow any office member to take the review of systems and the family social history. These two evaluation and management history elements can actually be taken by absolutely anyone. It is ok in medical billing for a parent or a secretary to take down this information as long as the information is reviewed and signed off on by the acting pediatrician. The only part of an evaluation and management visit that the physician or nurse practitioner must complete for medical billing purposes is the history of present illness or the reason for the visit. By allowing your administrative staff to complete

Published By: Kathryn Etienne, CCS-P on October 20, 2013

Getting Your Medical Billing Reimbursement-Nonphysician Practitioners

If you aren’t getting a reimbursement for the services rendered to patients by a nonphysician practitioner (NPP) affiliate with your practice, you’re leaving money on the table for the insurance company that rightfully belongs to your practice. Learn the rules of the carrier and take the time to bill under the NPP provider number and statistics show that over three-fourths of the health plans billed would reimburse at an average rate of 85%. While this isn’t a full reimbursement, it is far better than not receiving anything in return for your services rendered. There are two main rules for using this type of billing. The patient’s physician or another affiliated

Published By: Melissa Clark, CCS-P on May 15, 2013

What ICD-10-CM Promises

What ICD-10-CM Promises The 30 year old medical billing ICD-9 coding system will soon be thrown out the window. This old system has long been outdated for our growing knowledge of medicine and medical treatments. We now know a lot more about diseases then we did thirty years ago. We also have discovered many new conditions and variations of old conditions. The new ICD-10 medical billing system promises great change to the health field. Over one hundred modern countries now use the ICD-10 medical billing coding system. The United States currently uses the ICD-9 system. With the old ICD-9 system it is very difficult transferring information back and forth between

Published By: Melissa Clark, CCS-P on October 11, 2012