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.
Medical Billing For DME
Medical Billing For DME DME stands for Durable Medical Equipment. A DME or HME (Home Medical Equipment) Billing Service is a specialized form of medical billing. Make sure your medical billing vendors have these capabilities. DME medical billing covers a very broad spectrum of medical billing types such as wound care billing, infusion therapy, diabetes supply, mobility therapy, and respiratory care. If there is special equipment needed for on-going care of the patient, such as diabetes testing supplies or a scooter, the medical billing company will code and submit those DME claims for you. The way it works is very simple. You diagnose a patient’s needs as far as any …
Medical Billing Service Marketing: Help Your Business Grow
Medical Billing Service Marketing: Help Your Business Grow Entering the field of Medical Billing Service can be lucrative and exciting, but it can also be overwhelming if you don’t know how to market your services. If you are one of the many who have discovered the vast opportunities available in the Medical Billing Service industry, congratulations! Now let us show you how to increase your earning potential by employing effective marketing strategies. If you have already started your online Medical Billing Service, it may not surprise you to know that over 7,000 Health Care Providers still file insurance claims on paper, costing them time, money, and accuracy. Your market waits …
Advantages and Disadvantages of Both Outsource and In House Billing
If you are wondering about in house medical billing versus outsource medical billing – advantages and disadvantages, you should consider yourself very smart for wondering about the two options, and figuring out which one would be best for you. Outsource medical billing will allow physicians to really focus on the truly critical and needed care of the patients. With all of the constantly changing insurance rules, makes everything more difficult to do in house medical billing. On the other hand, in house medical billing gives many people the freedom of control and choice. You may need to go through more complicated steps with in house medical billing, but some people …
Medical Billing and Coding: Two Different Skills That Work Together
There are two critical administrative procedures that occur after you have received medical treatment. These are medical billing and coding. Performed by trained specialists, these are the processes that ensure your doctor bills you correctly for the services rendered and that information about your treatment is accurately represented to your insurance company for the purposes of reimbursement. Medical billing and coding are actually two separate skills that lie at the core of the reimbursement system for physicians. Medical coding requires extensive training and experience. Each item of your medical treatment is converted into a code before it can be entered into a computer. Whether it’s a short or long office …
Ready for your Medicare Site Visit?
Securing a Medicare provider number is a priority for any new practice. Properly submitted electronic Medicare claims can turn to cash in 21 days and can help establish a predictable cash flow. Part of the approval process includes a site visit and presentation of “QID’s” such as #14120: DOCUMENTED BILLING PROCEDURES that states “Sound practice management provides for defined billing procedures and reference materials as a component of increased accuracy.” When you engage a billing and coding company make sure the support team you choose is familiar with all Medicare procedures including the all-important site visit and the information required and presented during the visit. A company that is familiar …
Participating Encore Chiropractors
Encore Health Network established a relationship with HSM, Inc., to administer their chiropractic network. The one change under the relationship with HSM that has caused the greatest amount of questions and payment problems for providers, is indentifying Encore patients and filing the claims correctly to HSM. All claims should be sent to HSM directly, not to the address on the ID card. Claims sent directly to the payor or Encore will be processed and paid at out of network benefits. Encore requires all payors to put their logo on the ID card, so your staff should check all ID cards, front and back. Upon noting the Encore logo, register or …
Make Medical Billing Easier by Outsourcing
Medical billing is an important aspect of every hospital and medical practice. This is because hospitals and medical practices rely on strong medical billing and collection for revenue. If a hospital or medical practice charged a large fee for a year of operation, but did not collect, the revenue would be in the red. This is why having a strong medical billing professional or medical billing firm is so important. Obviously, since the healthcare industry is so dependent on proper and timely medical billing, skilled individuals are needed in this business. The medical billing industry is experiencing changes and many healthcare related businesses are relying more and more on independent …
What Are Medical Billing Services?
Medical billing service is defined as the process of submitting claims to insurance companies or the United States government agency, Medicare. This process ensures that hospitals and doctors receive payment for the medical services they provide their patients. How does the medical billing process work? The medical billing process itself is quite simple; the doctor examines the patient, and gives his diagnosis. Then either the physician or his staff records the diagnosis as well as the treatment given to the patient. The advent of computers, customized and detailed medical billing software, has resulted in the process becoming even more accurate and efficient. In the past medical billing records generated long …
Medical Billing Tips for Modifier 59
Using a modifier incorrectly can cost you in terms of reimbursements and time. Carriers are closely scrutinizing medical billing claims for incorrect usage of modified 59. There are two main areas that you can concentrate on to avoid getting his with denials or pay backs and insure that you use the modifier correctly. A study of the OIG found a 40% error rate for modifier 59 and you can double check your billing. First of all, in order to use modifier 59 there must be services performed at separate regions. Fifteen percent of the OIG’s audited claims using modifier 59 had procedures that weren’t distinct because “they were performed at …
Medical Billing Dilemma – Coding for Estrogen Withdrawal
Put yourself in this medical biller’s shoes and see if you would file this claim correctly. A patient that recently had a hysterectomy presented to the ED with symptoms needing treatment. The physician noted that the patient was suffering from “estrogen withdrawal with menopausal symptoms.” A level three evaluation and management service was performed on the patient; what diagnosis code would you use? There’s no specific code for estrogen withdrawal. Stumped? In this case you should use more than one code as there is no specific code for this service. Break out the claim to show the patient’s main complaint and reason for the ED visit and then to show …
