Archive for the Week of October 13, 2007

Archive for the Week of October 13, 2007

Welcome to the medical billing blog archive for the week of October 13, 2007.

Here you will find links to every article added to the Outsource Management Group web site during the week of October 13, 2007.

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

Medicare Website Updated to Make Medical Billing Information Easier, Faster to Find

Due to high usage and informational usage by the medical billing community at large, the Medicare website has revamped certain areas to make their site easier to search and access. When a medical biller is looking up information, at the Medicare coverage site located at, it is now easier than ever to search for the coverage limitations and other required information that you need. The page is now set up to ask if the biller is asking for a local or national coverage determination to avoid confusion and misinformation that was previously disseminated as there are certain differences between local and national coverages for certain procedures. Medical billers may

Are You Getting Maximum Reimbursements for ER Dislocation Procedures?

A common occurrence in the emergency is the dislocation of various joints. They are sometimes incorrectly handled as breaks but shouldn’t be and you could be setting your practice up for a denial at best and audit at worst if you report these procedures incorrectly on your medical billing. Even if the reduction of the dislocation fails, the attempt should be reported on not only the medical billing as a procedure but also in the documentation as another procedure will have to be tried to relocate the elbow to its proper placement and you can show the timeline for the necessity of other and more involved treatments. On the claim

Getting Place of Service (POS) Codes Right

For correct payment amount, accurate place of service codes are required. The failure to provide the correct place of service code with the correct current procedural terminology code for E/M services will cause your claim to get denied. One of the most important elements of medical billing is the place of service code. In medical billing, the place of service codes for an evaluation and management are commonly misused. There are several current procedural terminology codes for an evaluation and management session that correspond to different medical billing place of service codes. When using CPT 99341 (Home visit for the evaluation and management of a new patient) through 99350 (which

HIPAA Clarifications Coming for Mental Health Workers

If you work in the mental health area, you can expect there to be a coming clarification on how HIPAA and FERPA should be interpreted along with a other state and federal privacy laws dealing mostly with situations concerning mental health workers when dealing with patients in conjunction with educations and law enforcement. This change is largely in part to the misinterpretations of privacy laws that were contributed to the Virginia Tech shootings earlier this spring, however it was not attributed to the laws themselves, concluded federal officials in a report to the President. The report was a compilation of data that was put together by several different agencies including

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