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.
4 Reasons To Outsource Your Medical Billing
4 Reasons To Outsource Your Medical Billing There are many good reasons that you can be given for outsourcing your medical billing to an outside source, there are 7 main points that will make you realize how much outsourcing your medical billing can save your practice in terms of not only your bottom line, but time as well. Reason #1 – Your staff will have more time to help run your practice.Your practice is busy, your staff doesn’t have time to stop and look up a claim status, double check coding on the medical billing forms or look up additional coding that may be necessary to outline procedures performed. Your …
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. …
Pre-certifications In Medical Billing
Pre-certifications In Medical Billing In many cases, a rejected claim by a carrier is due to the pre-certification requirements not being met. Many times, procedures will need to be pre-certified by the carrier prior to services being rendered or the carrier simply will not honor the medical billing claim when it is filed. One way to cut down on your claim rejections, is to have your staff document when they call for a pre-cert when a patient needs a procedure performed.Have your staff fill out a pre-cert form and call about the procedure for the patient and get the date,time, phone number and extension and full name of whomever gave …
Outsourcing Your Medical Billing In Utah
Outsourcing Your Medical Billing In Utah If you’re a physician in Utah and you’re thinking about outsourcing your medical billing, you’re making a very wise decision. With the advent of the internet, electronic claims submissions, and secure port to port transmissions, you are no longer only able to use a local Utah medical billing company. In fact, the best vendor for your practice may not even be located in your State! Find out what services your medical billing partner can provide for your offices. Finding the right fit for your practice will go miles towards making you happy with outsourcing your medical billing. Your staff will reap big benefits too. …
Medical Billing and Revenue Codes
Medical Billing and Revenue Codes Not all medical billing is generated from physician’s services. Sometimes services are rendered to patients and the medical billing created from those procedures need to be submitted to the various insurance carriers, but they also need three things: a price, a procedure code, and a revenue code. Revenue codes indicate to the type of service that you are billing for; revenue codes are 3-digit codes, and those revenue codes must match up with specific procedure codes to designate what services were rendered. For instance, if you are using a 360 revenue code, you’re stating that the services rendered were performed in the operating room, and …
