Medical Billing Blog: Section - General Info

Archive of all Articles in the General Info Section

This is the archive containing links to all articles written in the General Info section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Hazy RX Medical Billing Question

Medical billing denials can be a blessing if your facility is conducting dangerous practices. A common, yet dangerous practice used in many hospitals is the dispensing of medications without an examination. Not only is this type of practice illegal, but it also puts the health of your patients in jeopardy. A medical billing denial for such practices may mean there is something wrong with the way you conduct business. If a patient visits their local family practice doctor, and the doctor decides the patient needs a certain medication, they should receive that medication from a pharmacy. Some family physicians send their patients directly to an emergency department. They call the

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Rehab Services Turn to Free Clinic Medical Billing

Rehab Services Turn to Free Clinic Medical Billing North Carolina is seeing a switch over to free clinic medical billing. Health insurance is on the rise in America. Although health insurance costs may be rising, that does not mean salaries are rising in a parallel fashion. More and more Americans are turning towards free clinics for medical care. In future years we may see more free rehab services popping up on the medical billing scene. The Associated Press online estimates that there are 46 million Americans uninsured today. That would explain why there are over 2000 free clinics in the country. Together, these clinics service over $3 billion in eligible

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Foreign Body Removal Medical Billing: Take 1

Foreign Body Removal Medical Billing: Take 1 Performing medical billing for foreign body removal can bring up many questions. A common location to remove a foreign body is from the eye. A common medical billing question is whether or not the instrument dictates which code should be used when removing of foreign body from the cornea or conjunctiva. The quick answer to this medical billing question is: sometimes. Most of the time, instrumentation is not the most important element of foreign body removal coding. For example, when dealing with conjunctival foreign bodies, it is appropriate to use the medical billing CPT code 65205 (Removal of foreign body, external eye; conjunctival

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Handling Billing Of Electro Diagnostic Testing Denials

EDX Medical Billing Denials If you thought there was no limit to your EDX medical billing, think again. Many physicians believe that the Centers for Medicare and Medicaid services will reimburse each and every EDX test performed. Look into the 2006 current procedural terminology book, appendix J, here you will find the EDX guidelines. To receive proper medical billing reimbursement, CPT guidelines should be followed. Over the years, the Centers for Medicare and Medicaid services have noticed an abuse of EDX tests. This abuse has led to the medical billing guidelines found in appendix J, of the 2006 CPT book. For different situations and diagnoses, the guidelines indicate how many

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Consumer Driven Insurance Affects Medical Billing

Consumer Driven Insurance Affects Medical Billing Consumer driven insurance has been infectious across America. With healthcare on the rise, consumer driven insurance may be the only solution for affordable treatment. Although this type of insurance gets a bad rap, CIGNA HealthCare recently conducted a study based on insurance cost. The study showed benefits for both the beneficiary and the insurance company in regards to medical billing. A consumer driven insurance plan is a one in which the medical billing model is left responsible to the beneficiary. The patient has a specified number of dollars to use each year. It is their choice whether they want to use their medical billing

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Cochlear Implant Medical Billing

Cochlear Implant Medical Billing Cochlear implants may become more common in the medical billing world in future years. A recent study from Johns Hopkins university dealt with children with human Cytomegalovirus (CMV) deafness after receiving a cochlear implant surgery. The findings from this study may imply more frequent medical billing reimbursement for the cochlear implant. CMV deafness is a common a viral causes of hearing loss in children. Not only is hearing affected in infant’s with this virus, but they’re also at risk for developmental neurological defects. Johns Hopkins university would like to correct one of these two problems. The new cochlear implants study may have a serious impact on

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Congress Tries to Fix Harsh Medical Billing Cuts

Congress Tries to Fix Harsh Medical Billing Cuts Congress realizes that 2007 will come with large medical billing cuts. Each year, it seems that Washington is constantly debating on whether or not physicians will receive Medicare cuts. The practices which service a large number of Medicare patients may be in jeopardy beginning January, 2007. They may have snuck by a medical billing cut this year, but next year will be a different story. February 01, 2006 physicians were lucky enough to sneak by a 4.4% medical billing reimbursement cut. The Centers for Medicare and Medicaid services are constantly trying to slim down their costs. Unfortunately, these cuts come at the

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How Does You Carrier Handle Medical Billing

How Does You Carrier Handle Medical Billing If you are not satisfied with medical billing response from your Medicare carrier, now is your time to be heard. Medicare contractor provider satisfaction surveys (MCPSS) were distributed to a sample of providers. Issues such as medical billing inquiries, processing time, appeals, and medical reviews are addressed on these surveys. If you failed to submit your medical billing survey, don’t worry. Although the deadline for responses was January 28, 2005, the Centers for Medicare and Medicaid services are contacting providers that did not respond. They want honest answers in regards to medical billing response. This medical billing survey is one way in which

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Medical Billing News for Home Health Agency

Medical Billing News for Home Health Agency Medical billing is starting to look bright for a post acute service provider. LHC Group Inc. is a post acute service provider who recently purchased 67% of the home health agency, Stanocola. The combined medical billing reimbursement of the two companies is expected to exceed $6.2 million. The purchasing company, LHC Group Inc. was originally primarily the provider for post acute services. Medical billing was done for facility, home based, and hospice care. However, this company decided it wanted to fully branch out its medical billing to include home health care. This is the reason they purchased Stanocola Home Health. Stanocola Home Health

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Medical Billing Gold Seal Awarded

Medical Billing Gold Seal Awarded Medical billing is not always the most important thing in your facility. The Robert Wood Johnson University Hospital in New Jersey has realized this. This hospital was recently awarded a gold seal of approval for their stroke program. The medical billing Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has deemed this program worthy of recognition. Medical billing reimbursement for stroke patients may rise at the Robert Wood Johnson University Hospital. They have demonstrated superb excellence in dealing with victims of strokes. JCAHO only awards this honor to facilities that demonstrate their adherence to strict standards. Quick stroke response treatment is one standard which is

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