Archive for the Week of August 21, 2005
Archive for the Week of August 21, 2005
Welcome to the medical billing blog archive for the week of August 21, 2005.
Here you will find links to every article added to the Outsource Management Group web site during the week of August 21, 2005.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Pre-certifications In Medical Billing
Pre-certifications In Medical Billing In many cases, a rejected claim by a carrier is due to the pre-certification requirements not being met. Many times, procedures will need to be pre-certified by the carrier prior to services being rendered or the carrier simply will not honor the medical billing claim when it is filed. One way to cut down on your claim rejections, is to have your staff document when they call for a pre-cert when a patient needs a procedure performed.Have your staff fill out a pre-cert form and call about the procedure for the patient and get the date,time, phone number and extension and full name of whomever gave …
Outsourcing Your Medical Billing In Utah
Outsourcing Your Medical Billing In Utah If you’re a physician in Utah and you’re thinking about outsourcing your medical billing, you’re making a very wise decision. With the advent of the internet, electronic claims submissions, and secure port to port transmissions, you are no longer only able to use a local Utah medical billing company. In fact, the best vendor for your practice may not even be located in your State! Find out what services your medical billing partner can provide for your offices. Finding the right fit for your practice will go miles towards making you happy with outsourcing your medical billing. Your staff will reap big benefits too. …
Medical Billing and Revenue Codes
Medical Billing and Revenue Codes Not all medical billing is generated from physician’s services. Sometimes services are rendered to patients and the medical billing created from those procedures need to be submitted to the various insurance carriers, but they also need three things: a price, a procedure code, and a revenue code. Revenue codes indicate to the type of service that you are billing for; revenue codes are 3-digit codes, and those revenue codes must match up with specific procedure codes to designate what services were rendered. For instance, if you are using a 360 revenue code, you’re stating that the services rendered were performed in the operating room, and …
Safety Send Endorsed by AMBA
Safety Send Endorsed by AMBA The American Medical Billing Association (AMBA) has selected Safety Send as the Endorsed Product for Their Members to use for HIPAA Compliance. Safety Send is designed for all levels of medical billing. According to Cyndee Weston, President of AMBA, “We are excited to have found SafetySend as a very affordable solution for our members to comply with the HIPAA security rule. AMBA was formed and is targeted toward providing assistance for small and home based professional medical billers with similar needs, interests and goals. Our members are looking for an affordable and reasonable answer to compliance, both for their practices and for their physician practices.” …
What Is The Electronic Claims Submission Process?
What Is The Electronic Claims Submission Process? The reason many physicians don’t outsource their medical billing is that they are unsure of how the Electronic Claims Submission process works. Understanding exactly what happens when the medical billing is sent from your office to the time you are re-reimbursed for your claims will show you how smart making the decision to outsource a lot easier. Your claims are transmitted to the medical billing company via electronic submission or plain old paper medical billing forms. At the medical billing firm, your electronic submissions are received and your paper claims are entered and double checked for errors and then transmitted in batch orders …
Medical Billing Outsourcing For Specialists
Medical Billing Outsourcing For Specialists Specialists have special problems when they need to outsource their medical billing. They need to find a vendor that understands their procedures and can accurately pick the correct coding in case the physician merely checks a main procedure performed. This knowledge by the medical billing firm will insure that claims are not under or partially paid when reimbursed and save the Specialist a lot of legwork having to pull files and re-read procedures to see what was actually done. Outsourcing your medical billing to a firm that can handle your specialty claims will take a lot off your mind and improve your cash flow. Did …
One Diagnosis Code
One Diagnosis Code? A situation that happens frequently in the medical billing industry is when a physician sees a patient, puts one diagnosis code on the form, yet multiple services were rendered. As detailed as medical coding is, in many cases, one code won’t cover the range of services the physician may have performed for the patient and portions of the claim will get rejected. Meaning the physician will only receive a partial reimbursement and the claim will have to be recoded covering the additional services originally not coded and the entire process can snarl up the repayment process for the practice. Most medical billing companies have a series of …
What Is Comprehensive Insurance Follow-up ?
What Is Comprehensive Insurance Follow-up ? Comprehensive Insurance follow up is a necessary part of the medical billing process, and it consists of three main components: 1. Correspondence – your medical billing partner will handle all the paperwork generated from your medical billing claim filings. Sometimes insurance companies ask for additional information or authorization reports. Your medical billing partner will take care of answering all these requests to get your medical billing claims processed. 2. EOBs – When a claim is paid in full or partially, you need to know. Your medical billing partner will post those payments accurately complete with an EOB so you know which claims are partially …
Still Unsure About Outsourcing Your Medical Billing?
Still Unsure About Outsourcing Your Medical Billing? A sobering fact that most medical practitioners don’t want to hear is that nearly 25% of all medical practice income is lost due to under coding, missed charges and claims that were missed or not properly reimbursed. That translates to hundreds of millions of dollars lost in revenue annually for the medical profession as a whole. Outsourcing your medical billing will allow your revenue to be collected and you will see a faster turn around on your claims. You could be receiving your reimbursement payments on your medical billing claims in 7-14 days as opposed to the 90-120 days you are probably used …
