Medical Billing Blog with Medical Billing & Coding Info & Articles
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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.
2004-2024 Celebrating 20 Years of Healthcare RCM Articles
The Blog Currently Contains 1,265+ Healthcare Articles
Surefire Tips to Identify Wound Repair Level
Wound repair causes a lot of confusion among medical billers and medical coders. It’s not always easy to identify the level of wound repair involved when reading an operative report. If you cannot quickly ascertain the level of wound repair, then you need to check for a few things. In order to identify wound repair level, you should look to the operative report for these key words and clues: -If a surgeon mentions single layer closure in his or her operative report, it is a simple repair. Simple repairs involve superficial wounds that involve “primarily epidermis, or dermis or subcutaneous tissues without significant involvement of deeper structures” according to the …
OMG Moves into It’s New 4500 Sq Ft Facility Near the Hospital
Outsource Management Group is pleased to announce that we have moved to our new, larger operations facility on Bloomfield Road near IU Health Bloomington Hospital. Outsource Management Group was originally born in March of 2003 in a small home office in Bloomington, Indiana. As the business began to quickly outgrow this office, it was moved into a much larger 1,200 square foot facility on 17th Street in early 2004. This move allowed the business to continue providing physicians with excellent results and grow it’s client base by 10 times, as well as increasing the billing staff by 6 times. As the client base and staff continued to grow, it became …
Bill One or Bill Twice for 97001/97002?
Patient evaluation codings can be very confusing. The patient initial evaluation code is 97001 (also, 97003, 92506, 92610) however if the patient is reevaluated (97002- patient reevaluation) within a 12 month period only one unit of service may be billed to Medicare Part B patients no matter how much time was spent actually servicing the patient. If you make a mistake and bill the carrier for the evaluation and a unit of service for the reevaluation, your claim will be denied based on incorrect coding no matter how much medical documentation you provide showing the necessity of the reevaluation of the patient. Keeping up with the fast paced changes of …
Is It Time to Outsource Your Medical Billing?
If you are noticing your medical billing claims are taking longer and longer to be reimbursed or you are having denials, rejections, or only partial reimbursements on your medical billing claims, it may be time to look at outsourcing your medical billing claims. You may feel as though you would be giving up control of your cash flow when actually you will have more control than ever. In fact, outsourcing your medical billing and coding needs through a medical billing partner is one of the smartest business moves you can make. The best company to handle your medical billing isn’t necessarily located around the corner from your practice or even …
Two Removals are Similar and Different
To avoid raised rejection of your medical billing claims for similar procedures that will be coded due to different removals or different parts of the body affected, you need to make sure you have iron-clad documentation. In some cases, you will come across two removals that are very similar, but different. For example, if a pediatrician removes an extra digit from a newborn’s hand, and also removes a skin tag from the newborn, the removal of an extra digit and the removal of a skin tag fall under the same CPT code but fall into different ICD-9 codes. For these two procedures, you should report 11200 (11200 is the removal …
