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.

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When Billing Code 90714 Isn’t Recognized

When Billing Code 90714 Isn’t Recognized In medical billing, code recognition is not the only reason for denial. 90714 is a new medical billing CPT code. If this code is denied, make sure you get the full story. In medical billing, code recognition is not an acceptable reason for denial. When new medical billing codes are introduced there is a lag period that lets coders and payers get adjusted for that specific code. HIPPAA sets an effective date for all medical billing codes that states when companies must begin using the codes or accepting the new codes. It is illegal to deny claims for no recognition if the code effective

Published By: Melissa Clark, CCS-P on December 15, 2008

Proper ED Coding In Your Medical Billing

Porper ED Coding In Your Medical Billing Make sure your medical billing emergency department visits are not over billed and make sure they are not under billed. In medical billing, you should never claim more money than you are entitled. You should also never give your services away for free. Especially when dealing with emergency department visits, medical billing is of the utmost importance. When coding for emergency services, you must first look at the physician’s action. Does the visit qualify for a consultation code? Was the patient admitted to the hospital? Was the patient discharged? Did any other physician see the patient prior to your physician. Each one of

Published By: Melissa Clark, CCS-P on December 1, 2008

How Your ICD Medical Billing Reporting Will Change

How Your ICD Medical Billing Reporting Will Change Next Year Medical billing is improving in the world of Cardiology. Before January 1, 2006, you must contact the ACC (American College of Cardiology) in order to enroll in a new ICD (implant able cardioverter defibrillator) data registry. It is the hope that this new repository will improve cardiovascular care and medical billing. On Oct. 27, 2005, the Centers for Medicare & Medicaid Services announced that hospitals must begin using the new data registry before the beginning of the year. The current system is called the Quality Network Exchange ICD Abstract Tool (QNET) and the new system is simply called the ICD

Published By: Melissa Clark, CCS-P on November 30, 2008

Medical Billing Denials During A Natural Disaster

Avoiding Medical Billing Denials During A Natural Disaster Several natural disasters in America have demanded a new medical billing policy. The insufficient relief effort after Hurricane Katrina made everyone want to proactively prepare, should another disaster occur. The healthcare industry has been no exception. A new medical billing condition code and modifier have been created for disaster related care for the present and future. The two new medical billing codes are DR (Disaster related), and CR (Catastrophe/Disaster Related). DR is a condition code and CR is a new medical billing modifier. All Medicare contractors must use the new codes on claims for August 21, 2005 and after. These medical billing

Published By: Melissa Clark, CCS-P on November 20, 2008

Critical Care Codes Documentation

Critical Care Codes Documentation Critical care is not only extremely important to save lives, but is also important in medical billing. Only the most experienced medical billers understand how to bill critical care correctly. There are several rules one should keep in mind when doing medical billing for a critical care patient. The two critical care Current procedural terminology codes are 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes) and 99292 ( each additional 30 minutes). Obviously, these codes are only appropriate for medical billing when there is a critically ill or injured patient. However, this can be more difficult to

Published By: Melissa Clark, CCS-P on November 12, 2008