Archive for the Week of July 14, 2006

Archive for the Week of July 14, 2006

Welcome to the medical billing blog archive for the week of July 14, 2006.

Here you will find links to every article added to the Outsource Management Group web site during the week of July 14, 2006.

You can browse this week's archives by clicking the "More" button from any of the excerpts below.

The Importance of Accurate E/M Claims

Medical billing largely depends on the accuracy of the physician’s records. Many times physicians have nothing to do with the medical billing aspect of their practice or facility. This can cause them to be haphazard with their documentation for their patients. It is important to educate physicians about the importance of accurate records to the medical billing department. With rising healthcare costs, carriers are becoming much less lenient on treatments and procedures being covered. They also have become sticklers for accurate medical billing documentation submissions. If there is anything incorrect on a claim, it gets sent back to the provider without payment. There are many evaluation and management claims that

When to Use 59025

The time to use 59025 to code a fetal non-stress test is when the patient records that she has felt the baby moving. If not then the fetal monitor is counted as routine. When you use the code 59025 for the fetal non-stress test for NST procedures you must make sure you are using them correctly. How that happens is that during the NST procedure the ob-gyn evaluates the patient and evaluates the well being of the fetus with out the use of IV medications. The test lasts for approximately 30-40 minutes, and the ob-gyn monitors the heart rate of the fetus using external transducers. If the NST is reactive

Separate Billing Equals Better Reimbursements

The Centers for Medicare & Medicaid Services has improved medical billing reimbursement for Medicare patients. Currently, if your practice does medical billing for a Medicare exam on a newly 65 patient, you can also bill for cardiovascular screening tests and diabetes screening tests. The Centers for Medicare & Medicaid Services realizes that separately billing for these screening services may seem incorrect. For this reason they are sending out plenty of medical billing information to explain how to bill for preventative care in the future. For instance, one of the things physicians can bill for separately is diabetes screening tests. As long as one risk factor is established and two of

Are Your Using the Common Working Files With CMS?

The biggest medical billing problem is getting denied payment for a claim. A service for which many patients are denied is smoking or tobacco-use cessation counseling. Payers have a hard time paying for this service. The patient either has no coverage, or is only allowed a certain amount of counseling sessions for the smoking cessation purpose. What happens if another physician has already done medical billing for these counseling sessions? Chances are, you would not get paid. The centers for Medicare & Medicaid Services have come up with a medical billing solution to let you know how many sessions a patient has already used. Let’s say you know your patient

Medical Billing for Type A Claims

Many times, one medical billing mistake with a Part A claim can cost thousands of dollars. Proper training can eliminate most of these errors. Consolidated medical billing should be engrained into the heads of your personnel. There are some basic tips you should follow when doing consolidated medical billing. There are several medical billing charges that should be excluded when it is a hospital providing the service to the patient. The Centers for Medicare & Medicaid Services gives this list to exclude: computerized axial tomography scans, ambulatory surgery in the operating room, MRI, cardiac catheterizations, radiation therapy, angiography, emergency room services, venous and lymphatic procedures, and ambulance services related to

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