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.
Medical Billing Reductions for Home Oxygen
Medical Billing Reductions for Home Oxygen Medical billing reimbursements may change for home oxygen providers. Currently, the HHS Office of Inspector General is circulating a survey about oxygen. Providers should beware of this survey. The HHS Office of Inspector General may use this survey to lower medical billing reimbursement rates. Lower medical billing reimbursement rates would be acceptable if they were correctly granted. However, the survey, and the HHS Office of Inspector General is not taking pertinent information into consideration. The survey fails to cover the services that accompany the oxygen therapy. Services that routinely do not require any documentation with medical billing have especially been forgotten. None the less, …
End Your Well Visit Denial of Claims
End Your Well Visit Denial of Claims Keep a close eye on payers after correctly performing medical billing! There can be inconsistencies with how a payer interprets coding procedures and how a practice interprets them. Currently there is an inconsistency with how to bill current procedure code 96110. The medical billing code 96110 should be separately reimbursable and not bundled with well exam codes as long as quality instruments are utilized. 96110 means: developmental testing; limited, (e.g. developmental screening test II, early language milestone screen), with interpretation and report. The American Academy of Pediatrics Committee on Coding and Nomenclature reports that it is perfectly acceptable in medical billing to charge …
Power Mobility Codes Will Be Delayed By CMS
Power Mobility Codes Will Be Delayed By CMS Power mobility medical billing changes are on the horizon. There have been several thing cooking in the power mobility CMS kitchen. There will be new medical billing codes and a revision to the local coverage determination (LCD) for power mobility devices. Currently, the Centers for Medicare & Medicaid Services has delayed the release of the medical billing changes. On October 14th, the Centers for Medicare & Medicaid Services announced that they would be delaying the release of the 62 power mobility device codes. This also means there will be a delay for the local coverage determinations for medical billing. This delay is …
Medical Billing News : New CPT Codings
Medical Billing News : New CPT Codings New 2006 medical billing codes may make your job a lot more clear. There are several new codes effective in 2006 that more accurately describe medical services performed by your practice. Using these new codes may make your medical billing job easier. One set of new codes effective in 2006 is the Auditory Rehab medical billing codes. Not only is there a new code for the auditory rehab evaluation status: 92626 (first hour), but there is also a new code for the actual rehab. This new rehab code is 92630 (pre-lingual hearing loss). A post-lingual hearing loss medical billing code will be in …
Reimbursement For Critical Care Medical Billing Codes
Get Full Reimbursements For Critical Care Medical Billing Codes When performing medical billing for critical care services, much accuracy must be followed. It may not be the most important thing on a physician’s mind when a critical patient comes into the emergency room, but medical billing elements cannot be overlooked. There are two elements that are imperative for critical care medical billing: time and medical necessity. In order to use the codes 99291 or 99292 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes and each additional 30 minutes), the patient must have a critical illness or injury. Critical is defined as having …
Eliminating SSNs in Medical Billing
Eliminating SSNs in Medical Billing The Durbin amendment will make medical billing safer for senior citizens in the United States. The Durbin amendment makes it mandatory for the federal government to remove social security numbers from all Medicare documents and replace them with a different patient identifier. Since senior citizens are a large target of identity theft, this medical billing change is definitely one for the better. Beginning in 2006, the federal government has gotten on the same page as many states of the nation. Identity theft is so prevalent in the United States and social security numbers make identity theft easy. This means that all senior citizens with Medicare …
Overstated Payment Amounts In Medical Billing
Watch Overstated Payment Amounts In Your Medical Billing The state of Indiana is raising some eyes in the medical billing world. The Centers for Medicare & Medicaid Services have strict regulations for payments and upper payment limits (UPLs). Apparently Indiana significantly overstated these amounts, which led to large over payments. Now, the Indiana medical billing overstatements may affect their bottom line. The Office of Inspector General announced that for the Indiana state fiscal years 2001 and 2002, they overstated upper payment limits by about $6.5 million. The medical billing in 2001 was overstated by $2.2 million, and 2002 medical billing was overstated by $4.3 million. The reason these medical billing …
Four Coding Myths That Will Cost You
Four Coding Myths That Will Cost You Ob-Gyn coding is a serious medical billing issue. There are many assumptions and myths that billers make when filing claims. Assumptions can cost your practice a lot of money. There are four myths in Ob-Gyn medical billing you should forget. 1st MythIt is incorrect to bill separately for the initial blood work with a nurse and also the initial ob-gyn visit. If blood work is being done, that should be included in the initial visit code, or the global package in medical billing. If your practice has been billing separately for these services, you may eventually need to repay overpayments. 2nd MythAnother myth …
Proper use of 90782 billing code
Proper use of 90782 billing code Like any other medical billing code, there is an appropriate time to use the current procedural terminology code 90782. Some people wonder if this code is appropriate when doing medical billing for a tetanus toxoid injection in the emergency room. In medical billing, the best CPT code is the code that most accurately describes the service. In the emergency room scenario, it would not be appropriate to do medical billing for a 90782 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscularly) for a tetanus shot. In the emergency room, it would be very difficult to prove it medically necessary for a physician to administer …
Do You Know Your Medical Billing RUG’s?
Do You Know Your Medical Billing RUG’s? The New RUG III should bring added reimbursement to freestanding facility medical billing across the country. These new changes will boost payment between 2.4% and 2.9% if the facility handles medical billing correctly. If medical billing is handled incorrectly, a drop in payments could be seen for skilled nursing. Training is of the utmost importance coming up on the new year. If a facility has rehab residents with cushioned care with add-on payments, the RUGs will throw them into a lower paying bracket. Understanding the Medicare per diem levels will be very important when it comes to reimbursement for services. There are several …
