Archive for The Day of August 7th, 2006
Archive for the Day of August 7th, 2006
Welcome to the medical billing blog archive for the day of August 7th, 2006.
Here you will find links to every article added to the Outsource Management Group web site during August 7th, 2006.
You can browse this day's archives by clicking the "More" button from any of the excerpts below.
Get Your Therapy Medical Billing Claims Paid
No type of medical billing claim raises more eyebrows with Carriers more than therapy bases medical billing claims. Most therapy claims are 100% legitimate but because of the amount of fraud that has been perpetrated by a few unscrupulous individuals all of these types of claims get closer looks than ever. One way to insure your claims are submitted correctly is to make sure the documentation is done absolutely accurately in your therapy department. In a recent audit of claims, the CMS found that the number one error in reporting therapy medical billing claims is with the minutes billed. Make sure the amount of therapy given to the patient is …
Using Care When Using Modifier 24
If you are a practitioner or medical biller that has a client who sees patients in need of services for post operative complications and you are bundling the services into the global period of surgery, you could possibly be missing thousands of dollars in reimbursements yearly using this method of doing your medical billing. In many cases you can legitimately report patient evals made during the post-op period, according to the individual carrier’s rules. A good rule of thumb for most carriers is if the post operative complication evaluation is unrelated to the original procedure and this can usually be distinguished by medical necessity and date alone, then you can …
