Archive for the Week of August 28, 2005
Archive for the Week of August 28, 2005
Welcome to the medical billing blog archive for the week of August 28, 2005.
Here you will find links to every article added to the Outsource Management Group web site during the week of August 28, 2005.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Have You Ever Thought Of Medical Billing As A Career?
Have You Ever Thought Of Medical Billing As A Career? If you’re looking for a change in your career or you want to jump back into the workforce with some training that will benefit you, becoming a Medical Billing Specialist is a fantastic way to accomplish your goals. As of 2004, The American Medical Association estimates that there are 1.2 million medical billing specialist in the workforce today, and more jobs are expected as the population continues to age. The most wonderful part of being a medical billing specialist is that you can work in a doctor’s office, a clinic or work with a company that handles medical billing for …
Coding Radiology Services
Coding Radiology Services Medical coding for radiology services can be very tricky. Most radiology procedures, unless emergency, normally need pre-approvals in order to receive reimbursement for services rendered. Failure to get a pre-approval can result your medical billing claims for radiology being denied and rejected. Make sure you have a pre-approval on file before the services are rendered. Contact the carrier, note the date and time that you called. Get the first and last name of whomever approves the services. You may very well need this information in the future if your medical billing claim is denied. There are also CPT coding changes that happen often in the field of …
Electronic Claims Processing
Electronic Claims Processing One of the reasons that outsourcing your medical billing is so efficient, is because most medical billing firms use electronic claims submissions (ECS). Studies show that only about 40% of medical billing claims are electronically processed when submitted directly by the physician’s offices. In 2003 over 6 billion insurance claims were filed, of that number, around 500 million were Medicare claims. Medicare pays two weeks faster if claims are filed electronically. They offer up this incentive to entice that other 60% of practices that are still filing claims manually with a CMS 1500 form to submit those claims electronically. Another sobering reason to have your claims processed …
Are Your Medical Billing Claims Being Denied?
Are Your Medical Billing Claims Being Denied? If you’re a physician and your medical claims are being denied, are you getting reasons why or are you simply eating the charges as a consequence of doing business? In the realm of things, some claims will be denied legitimately, but far fewer medical billing claims than you think will be denied in this manner if you outsource your billing. If you are still doing your own coding and billing, this is the number one reason for claims being denied by the carrier. Most practices are too busy to keep up with the coding changes that can happen many times in one year. …
Outsourcing Your Medical Billing Claims for DME
Outsourcing Your Medical Billing Claims for DME Medical billing for durable medical equipment (DME) is one of those sticky situations for a lot of medical billing companies. Many times the DME must be preapproved and noted as such on the initial medical billing or your practice may or not get reimbursed. A lot of DME claims that go unfairly unpaid to a lot of practices because there is a definite learned criteria for submitting and getting these types of medical billing claims paid. As you are well aware, Medicare claims for DME (both primary and secondary claims) can involve extremely time consuming and manual filing process for most medical billing …
The First Part of Medical Billing: Medical Coding
The First Part of Medical Billing: Medical Coding Many people think medical coding and medical billing are the same thing, as you in the industry know, they are part of the same process but are very different. Medical coding is where it begins, the services are rendered and the standardized insurance codes that correspond to that service are recorded on a medical billing form. The codes can be changed/added to/or removed many times in one year and if an outdated code is used, it can cause your medical billing claim to be rejected. If incorrect coding or under/over coding is used, you can be setting yourself up for an audit. …
