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.
Coming Price Cuts To Certain DME
Coming Price Cuts To Certain DME The Centers for Medicare & Medicaid Services has a medical billing change coming that will cut the reimbursement rate of power wheelchairs. Soon the Centers for Medicare & Medicaid Services will use the gap-filling method to set the medical billing fee schedule for these chairs. This new medical billing method will severely decrease the reimbursement amount for power wheelchairs. The gap-filling medical billing fee schedule method is when the Centers for Medicare & Medicaid Services takes the cost for the durable medical equipment back in 1987. Then, they figure the price for the current year using increases in fee schedule amounts. Unfortunately, for power …
Medical Billing Reimbursements For Professional Fees
Getting Medical Billing Reimbursements For Professional Fees Doing medical billing is only one aspect of getting reimbursed for professional fees. Many things must take place in order to get correct reimbursement for professional medical services. Services must be rendered, accurate documentation must be taken, and correct medical billing practices are all requirements of getting reimbursed for medical professional fees. The first thing that must take place before you can even perform medical billing is the rendering of a service. A complete exam or lab, or x-ray, surgery, etc must be performed for everything to take place. It is important to treat patients with respect because if you do they will …
Boosting Medicare Revenues For Rehab Services
Boosting Medicare Revenues For Rehab Services Medical billing may not be changing for Medicare rehab services, but patient premiums are. On September 16, 2005, the Centers for Medicare & Medicaid Services announced that the Medicare Part B premiums will increase in 2006 to $88.50 a month. This is up $10.30 from the current premium of $78.20 a month. The Centers for Medicare & Medicaid Services says this change in medical premiums will not negatively effect patient billing. The Centers for Medicare & Medicaid Services says this premium hike is necessary for the survival of the program. They say that in recent years much more medical billing has been done for …
New HCPCS Coding Changes Include New Categories
New HCPCS Coding Changes Include New Categories The times are changing for medical billing codes. There have been changes to the Healthcare Common Procedural Codes System which include new medical billing codes and completely different categories. On October first there are several new medical billing codes your practice should get familiar with. The main difference with the Healthcare Common Procedural Coding System is the new release of low-vision rehabilitation service codes. The Centers for Medicare & Medicaid Services released these codes (G9041-G9044). They are based on 15-minute intervals and have different codes depending on what kind of therapist does the service. Also included in the medical billing codes are many …
Bundling Claims Brings Higher Ob-Gyn Reimbursements
Bundling Claims Brings Higher Ob-Gyn Reimbursements Medicare has made several changes to the bundling procedure for Ob-Gyn medical billing. The procedures for bundling codes or not bundling certain current procedural terminology codes when doing medical billing constantly changes for Medicare. In order to receive the highest reimbursement possible, it is necessary to know the correct billing for certain medical current procedural terminology codes. The latest Medicare change deals with current procedural terminology code 57283 (colpopexy, vaginal; intra-peritoneal approach). You can no longer perform separate billing for this medical code and 57280 (Colpopexy, abdominal approach). They are mutually exclusive. This means that if both codes are reported on the same day …
Medical Billing And Second Observation Day Coding
Medical Billing And Second Observation Day Coding Eventually, when you’ve done enough medical billing, you will run across the scenario when a patient is in the hospital on a three day stay, a common belief among medical billers is that the a “middle” day of observation should be billed on the medical billing form as an Outpatient Visit (99212-99215). Many Carriers and Medicare will not reimburse a middle day visit coded in this fashion. Even with documentation for the middle day visit included on the medical billing form. The AMA’s position on the medical coding for this situation is that you report the middle/second day of a three day stay …
Clarifying Guidelines For Medical Billing Cardiac Rehab
Clarifying Guidelines For Medical Billing Cardiac Rehab Difference in medical billing manuals have made cardiac rehab claim submission confusing. There are three manuals that give guidance on how to bill for cardiac rehab services. These manuals are the Medicare Coverage Issues Manual, Intermediary Manual, and Hospital Manual. Each on of these manuals gives a different method on how to bill for cardiac rehab. The Office of Inspector General realizes that this has become a major medical billing issue. Recently, an audit was done on thirty four different hospitals. The goals was to see where the consistencies and then confusion lie in billing for medical cardiac rehabilitation. The results were astonishing! …
Captain Integrity & The Medical Billing Community
Captain Integrity – Superhero For The Medical Billing Community And More! Medical billing compliance has never been more fun. A brand new compliance program called Captain Integrity is getting some positive attention. Medical billing fraud is wrong and Captain Integrity is here to save the day. With medical billing fraud on the rise, a new compliance brand name was in order. The intention of the Captain Integrity program is to put a positive spin on compliance that all employees will enjoy. Many people look at compliance as a negative thing. Captain Integrity wants to change that. Everyone from office personnel to actual physicians can get involved in this medical billing …
California AG Files Fraud Charges Against 39
California AG Files Fraud Charges Against 39 pharmaceutical companies There is big Medical billing news in California. California’s Attorney General, Bill Lockyer, is showing large pharmaceutical companies that they can’t take advantage of his state any longer. Pharmaceutical fraud has plagued California. Inflation of medical billing hurts everyone. On August 25, the medical billing news that swept across California was that the Attorney General filed a lawsuit against 39 large pharmaceutical companies. He claims that they have spent years wrongfully inflating the costs of drugs. The billings for many of these medical drugs were sent to California’s Medicaid (Medi-Cal). Apparently, a smaller pharmacy filed a lawsuit against a few larger …
Strong Documentation Gets Your E/M Claims Paid
Strong Documentation Gets Your E/M Medical Billing Claims Paid When billing a medical claim, the diagnosis code is one of the most important elements to prove medical necessity. As soon as a payer gets a claim, it automatically goes through their system and is either paid, denied, or sent to review. Billing with strong documentation to back up medical current procedural terminology codes will get claims paid quicker. Many times with simple evaluation and management visits, the only thing needed in billing a claim is the medical CPT code and the ICD-9 code. When this is the case, it is very important that these codes not only correctly correspond, but …
