Archive for the Week of June 2, 2006
Archive for the Week of June 2, 2006
Welcome to the medical billing blog archive for the week of June 2, 2006.
Here you will find links to every article added to the Outsource Management Group web site during the week of June 2, 2006.
You can browse this week's archives by clicking the "More" button from any of the excerpts below.
Proper Use of ED Injection Codes
When to use code 90784 when processing medical billing claims for emergency room injections can raise a lot of questions. If you fail to follow the exact criteria for reimbursements of these types of claims, you risk only receiving partial reimbursement for the services or an outright rejection of the claim. The question of when to use this code comes up when a hospital supplies an injection or antibiotic to a patient in an emergency department visit situation. Many medical billers believe 90874 should not be used in this situation because the physician has not actually purchased the drug, just administered. In all actuality, 90784 means- therapeutic, prophylactic, and diagnostic …
History of Present Illness and Your Medical Billing
When to combine history of present illness and review of systems causes a lot of confusion among many practices. However it is possible to do and is perfectly acceptable to document an element once to account for HPI and ROS. In many instances, a physician will leave a medical billing company with tons of documentation for a review of systems, but not enough information for the history of present illness. The physician is missing out on some additional revenue by not documenting the ROS. The CMS states that physicians do not need to document an element two times for medical billing purposes. It is perfectly acceptable to use one element …
Radiology Claims Continue to Rise
Radiology claims are on the rise and there are two types distinct types of radiology claims, evaluation and management. Both are valid reasons for radiology and both need to be reimbursed, however you need to make sure that your documentation backs up the coding that is used in your medical billing claim. Radiologists can perform several types of services. One of these services is an evaluation and management session. When doing medical billing for a radiologist it is important to make sure a session meets three categories before coding it as evaluation and management session. The three categories are: request, render, and report. The first necessary element for a radiologist …
Using POS 21 In Your Medical Billing
When processing medical billing for hospitals, location of services is everything and you must be certain that the correct place of service coding is used. That is where code 21 comes in handy. Place of service code 21 is used in medical billing for all inpatient hospital care. Admittance of a patient to the hospital will make it necessary to use the inpatient hospital POS code 21. Many medical billers get confused when the emergency department comes into play. They question whether or not they should use place of service code 23 for emergency room-hospital, or place of service 21 for inpatient hospital if a patient is admitted from the …
Special Needs Indirect Supervision Procedures
When a staff member stands in for a pediatrician and performs a low level service also called a Care Plan Oversight, how that reimbursement works for those procedures can be confusing. In order to correctly bill services, there are certain policies that should be followed. The steps for billing indirect supervision can be broken down into the three basic steps. Getting the coding right is the first step. The medical billing current procedural terminology codes 99375-99380 should only be used in certain instances. These codes represent non face-to-face visits by pediatricians for special needs children. There are firm instances when it is acceptable to do medical billing for this care …
Does Your Staff Find the Hyphen Regulations Confusing?
The hyphenated codings have been removed from coding alerts. The American Medical Association has removed the hyphen from all coding manuals and the CPT Assistant. However even though the hyphen is no longer used in the manuals, whether or not your staff chooses to use it in their medical coding is solely up to them. It will not affect how your medical billing claims are handled. Initially, the medical billing modifier hyphen was used in AMA publications for formatting purposes. It was supposed to ensure that people didn’t confuse the modifier with the rest of the current procedural terminology code. It was also to let people know that the number …
Medical Billing Dilemma – When to Use Fetal NST Code 59025
The Comprehensive Guide to Using CPT Code 59025 in Medical Billing Medical billing is an essential aspect of healthcare management that ensures providers are compensated for the services they offer. One of the crucial components of this system is the Current Procedural Terminology (CPT) codes, which are used to describe medical, surgical, and diagnostic services accurately. Among these codes, CPT code 59025 holds specific importance for professionals involved in maternal-fetal medicine and ultrasound services. Understanding CPT Code 59025 CPT code 59025 refers to “Fetal Non-Stress Test,” a common procedure used to monitor the health and well-being of a fetus during pregnancy. The test evaluates the fetal heart rate in response …
