Archive for the Week of October 20, 2005
Archive for the Week of October 20, 2005
Welcome to the medical billing blog archive for the week of October 20, 2005.
Here you will find links to every article added to the Outsource Management Group web site during the week of October 20, 2005.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
How Much Do You Know About Patients PHI?
How Much Do You Know About Patients PHI? In medical billing, PHI is personal patient information that should only be shared with covered entities. It is not only wrong to release a patient’s medical billing PHI to outside sources, but it will ruin your business as well. An example of wrongly shared PHI is at the University of Missouri Health Care. Currently over 800 patients have a class-action lawsuit filed against them. The patients claim their confidential medical billing records were released to a home health provider called Option Care. Option Care apparently called these patients trying to sell them pricey medications. They also tried to convince them that their …
Getting Your Arteriogram Claims Paid
Medical Billing Tips – Getting Your Arteriogram Claims Paid After reading this section, you will be a bilateral renal arteriogram medical billing wiz. There are many code confusions with this surgical procedure. Some payers will not pay a cent if you bill the wrong code combinations. However, doing medical billing for renal arteriograms can be quite simple. There are two codes one should report when doing medical billing for a renal bilateral arteriogram. The current procedural terminology code 36245 should be reported twice. Then the Current Procedural Terminology code 75724-26 should be reported. Do not make the mistake in adding a G0275 to your claim because the renal arteriography already …
Medical Billing Dilemma- Changing Newborn Status
Medical Billing Dilemma – Changing Newborn Status The well-being of newborns can change instantly, which intern, changes their medical billing. Newly born babies are very susceptible to illnesses. Their bodies are not used to functioning outside the uterus. They develop breathing problems, heart conditions, illnesses, skin rashes, etc. Many medical billers have incorrectly coded these evaluations. In order to receive correct reimbursement for newborns, it is important to know how to do medical billing for same-day visits for different diagnoses. When a baby is born, it may be considered a well baby. They physician does an exam and the baby is sent to the nursery. Let’s say that two hours …
Medical Billing For Non-Physician Practitioners
Medical Billing For Non-Physician Practitioners Medical billing policies by non-physician practitioners have recently changed. The Centers for Medicare & Medicaid Services reduced restrictions on what types of providers can bill for medical services. There are now several instances when a CMS and NPP can do medical billing for the services they provide. There are several medical billing scenarios to clarify for non-physician practitioners. First of all, it is perfectly legitimate for a nurse practitioner or a clinical nurse specialist to get reimbursed for services rendered in the skilled nursing facility in which they are employed. If the non-physician practitioner decides to resign their payments to the facility, then the SNF …
CMS To Provide National Provider Training
CMS To Provide National Provider Training There are some medical billing provider changes on the horizon. The Centers for Medicare & Medicaid Services is trying to catch everyone up to speed on the new National provider identifier system. The Centers for Medicare & Medicaid Services believes this provider training with alleviate some of the medical billing confusion once the change takes place. On May 27, 2007, all medical providers and organizations will be required to have a national provider identifier for claims processing. This is for any covered entity recognized by HIPAA. This national provider identifier will replace the current provider number. It is important to note that although the …
Borrowing Provider Numbers Can Bring Big Trouble
Borrowing Provider Numbers Can Bring Big Trouble When performing medical billing, using your own provider number is a requirement. Failure to do so is considered fraud and is not tolerated. Using another provider’s tax identification number for medical billing can cost you big money and even jail time. Fraud costs Americans billions of dollars a year. (yes I said BILLIONS). One of the may variations of medical insurance fraud is using another provider’s Tax identification number. There are several reasons why providers would want to do this. A doctor without a contract with a provider network may want to use a TIN of a provider inside that network. Some people …
Avoid Denials With Proper Billing For 99293
Avoid Denials With Proper Medical Billing For 99293 There are many medical billing codes that were created specifically for pediatrics. However, there are other areas of medical billing that do not have these specific codes for children. This makes coding very difficult and inconsistent. Many people wonder if the CPT code 99293 should be billed for an outpatient emergency room exam for a baby instead of using code 99291. The medical billing code 99291 means critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes. You would use this code if a patient came into the emergency room and was there for a half …
