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.
OB-Gyn Medical Billing – Bundling OB-Gyn Claims
OB-Gyn Medical Billing – Bundling OB-Gyn Claims In medical billing, there are many Ob-Gyn codes that should be bundled, while others should not be bundled. The current procedural codes 58720 and 57283 frequently bring up this bundling question in medical billing. It is important to know when to bundling certain Ob-Gyn medical billing codes and when to bill them separately. The current procedural terminology code 58720 (Salpingo oophorectomy, complete or partial, unilateral or bilateral) can be billed completely separately from a colpopexy (57283). This means that if your physician does both of these services at the same time, you can do medical billing for both procedures. There is no bundling. …
New Codes For Home Health Medical Billing
New Codes For Home Health Medical Billing The Home Health consolidated medical billing list is being updated. In an effort to smooth out the changes of moving to a new coding system, there have been some new home health service codes added to the repertoire. In addition to five new medical billing codes, there will be three supply home health consolidated billing codes that will disappear. The Centers for Medicare & Medicaid services have made it clear that home health services are not being redefined. The services still mean the same things. The only reason medical billing consolidated codes are being added and dropped is due to the new coding …
Avoiding Fraud and Abuse Charges in Medical Billing
Avoiding Fraud and Abuse Charges in Medical Billing Gainsharing in medical billing is highly scrutinized. The HHC Office of Inspector General is very suspicious about gainsharing activities with healthcare providers. There are three areas hospitals should focus on in order to prevent medical billing fraud allegations. Improper gainsharing agreements are borderline fraud in medical billings. The three things hospitals can do to prevent any fraud charges are having sufficient quality controls implemented, promoting accountability, and limiting payments that lead to referral pattern changes. If all three of these elements are satisfied, your hospital will have no problem providing trustworthy medical billing. Currently there is a CMP (civil monetary penalty) that …
Get The Most Out Of Your OB Medical Billing
Get The Most Out Of Your OB Medical Billing For maternity, a global medical billing is the most common form of claim submission. This can get very tricky for the personnel in your office. Be sure to train your medical billing staff the correct way to bill global maternity claims. There are 6 medical billing tips for global Obstetrical care. First, be sure that your diagnosis code (ICD-9) range in the 640-678 numbers. These are the only acceptable ICD-9 codes for global maternity care. Diagnosis codes are the first step to a correct claim. The second tip also deals with the diagnosis code. Be sure you use the correct fifth …
Hurricane Katrina’s Victims EMRs Go Online
Hurricane Katrina’s Victims EMRs Go Online Hurricane Katrina has helped launch medical billing into the 21st century. Since over 800,000 people were evacuated from the Gulf Coast after the huge disaster, the government had to figure out a way that medical records could be accessed by medical facilities. The solution to the problem was an online system with medical billing EMRs available to all health officials. To assist the eight shelters in helping evacuees, this online system was developed. It took 10 days to set up, but is now operating in full swing. There is currently medical billing information from pharmacies, doctors, hospitals, and other types of providers loaded into …
Medical Billing Dilemma : Reporting Incision
Medical Billing Dilemma : Reporting Incision A common medical billing question is: When is appropriate to use an incision code. This question comes up many times when the removal of foreign bodies occur. In only certain instances would you report an incision code in medical billing. When removing a foreign body, if the physician makes an actual incision to remove the object, then the proper incision medical billing code should be used. The two main incision codes are 10120 (Incision and removal of foreign body, subcutaneous tissues; simple) and 10121 ( Incision and removal of foreign body, subcutaneous tissues; complicated.) This seems fairly simple, however, there are certain medical billing …
Avoid Denials On Disaster Related Medical Billing Claims
Avoid Denials On Disaster Related Medical Billing Claims Natural disasters like Hurricane Katrina have made it quite apparent that medical billing should reflect these disasters. The Centers for Medicare & Medicaid Services has issued a new condition code and a new modifier to reflect treatment for disaster related patients. These medical billing codes should have gone into effect on October 3, but no later then October 31. The two new disaster related medical billing codes are quite necessary now-a-days. This country has seen countless hurricanes, September 11, fires, etc. The new condition code that will be used in medical billing is DR. This stands for disaster related. The new medical …
Tricks For Protecting PHI on Your DME Business
Tricks For Protecting PHI on Your DME Business Perhaps one of the most important aspects of medical billing is protecting your patients’ PHI. Durable medical equipment companies can have just as much of a problem with confidentiality as any other medical facility or practice. There are four main tips for DME businesses to protect the medical billing PHI information. The first rule is medical equipment tracking. Some medical devices contain personal medical billing PHI information. When these devices are used by a patient, they could potentially breach that confidentiality if the information was not properly stored or disposed. It is much easier to track the device itself than to track …
Medical Billing – Don’t Be Tricked By Transfer Care
Medical Billing – Don’t Be Tricked By Transfer Care Performing medical billing for maternity transfer of care can get sticky. There are certain rules you should follow to get correct reimbursement for your patients’ prenatal care. Their is a correct way to do medical billing for transfer of care. There are two main ways to do medical billing for maternity care: separate visit reports, global billing. Separate medical billing means that you bill the prenatal visits separate from the delivery fee. Global fee means that you lump the prenatal visits and the delivery all into one large fee. If a pregnant woman is transferred to your practice and you do …
Why Proper Coding is so Important to Medical Billing
Why Proper Coding is so Important to Medical Billing Correct coding is the essence of proper medical billing. Without correct coding, claims would never be paid. There are several ways to ensure your medical billing claims always get sent with accurate information. One way to ensure your practice has correct medical billing is to make sure you personnel are properly trained. Hiring the correct staff members can be key. A perfect coder would be one that has specific medical coding experience. This could be through a medical organization such as the American Association of Medical Billers. Another great organization is the Association of Registered Professionals. After they complete the medical …
