Medical Billing Blog with Medical Billing & Coding Info & Articles
Our blog contains news and articles relating to numerous healthcare sectors including revenue cycle management, medical billing, medical coding, ICD, HIPAA, practice management functions and more.
Get The Most Out Of Your OB Medical Billing
Get The Most Out Of Your OB Medical Billing For maternity, a global medical billing is the most common form of claim submission. This can get very tricky for the personnel in your office. Be sure to train your medical billing staff the correct way to bill global maternity claims. There are 6 medical billing tips for global Obstetrical care. First, be sure that your diagnosis code (ICD-9) range in the 640-678 numbers. These are the only acceptable ICD-9 codes for global maternity care. Diagnosis codes are the first step to a correct claim. The second tip also deals with the diagnosis code. Be sure you use the correct fifth …
Hurricane Katrina’s Victims EMRs Go Online
Hurricane Katrina’s Victims EMRs Go Online Hurricane Katrina has helped launch medical billing into the 21st century. Since over 800,000 people were evacuated from the Gulf Coast after the huge disaster, the government had to figure out a way that medical records could be accessed by medical facilities. The solution to the problem was an online system with medical billing EMRs available to all health officials. To assist the eight shelters in helping evacuees, this online system was developed. It took 10 days to set up, but is now operating in full swing. There is currently medical billing information from pharmacies, doctors, hospitals, and other types of providers loaded into …
Medical Billing Dilemma : Reporting Incision
Medical Billing Dilemma : Reporting Incision A common medical billing question is: When is appropriate to use an incision code. This question comes up many times when the removal of foreign bodies occur. In only certain instances would you report an incision code in medical billing. When removing a foreign body, if the physician makes an actual incision to remove the object, then the proper incision medical billing code should be used. The two main incision codes are 10120 (Incision and removal of foreign body, subcutaneous tissues; simple) and 10121 ( Incision and removal of foreign body, subcutaneous tissues; complicated.) This seems fairly simple, however, there are certain medical billing …
Avoid Denials On Disaster Related Medical Billing Claims
Avoid Denials On Disaster Related Medical Billing Claims Natural disasters like Hurricane Katrina have made it quite apparent that medical billing should reflect these disasters. The Centers for Medicare & Medicaid Services has issued a new condition code and a new modifier to reflect treatment for disaster related patients. These medical billing codes should have gone into effect on October 3, but no later then October 31. The two new disaster related medical billing codes are quite necessary now-a-days. This country has seen countless hurricanes, September 11, fires, etc. The new condition code that will be used in medical billing is DR. This stands for disaster related. The new medical …
Tricks For Protecting PHI on Your DME Business
Tricks For Protecting PHI on Your DME Business Perhaps one of the most important aspects of medical billing is protecting your patients’ PHI. Durable medical equipment companies can have just as much of a problem with confidentiality as any other medical facility or practice. There are four main tips for DME businesses to protect the medical billing PHI information. The first rule is medical equipment tracking. Some medical devices contain personal medical billing PHI information. When these devices are used by a patient, they could potentially breach that confidentiality if the information was not properly stored or disposed. It is much easier to track the device itself than to track …
Medical Billing – Don’t Be Tricked By Transfer Care
Medical Billing – Don’t Be Tricked By Transfer Care Performing medical billing for maternity transfer of care can get sticky. There are certain rules you should follow to get correct reimbursement for your patients’ prenatal care. Their is a correct way to do medical billing for transfer of care. There are two main ways to do medical billing for maternity care: separate visit reports, global billing. Separate medical billing means that you bill the prenatal visits separate from the delivery fee. Global fee means that you lump the prenatal visits and the delivery all into one large fee. If a pregnant woman is transferred to your practice and you do …
Why Proper Coding is so Important to Medical Billing
Why Proper Coding is so Important to Medical Billing Correct coding is the essence of proper medical billing. Without correct coding, claims would never be paid. There are several ways to ensure your medical billing claims always get sent with accurate information. One way to ensure your practice has correct medical billing is to make sure you personnel are properly trained. Hiring the correct staff members can be key. A perfect coder would be one that has specific medical coding experience. This could be through a medical organization such as the American Association of Medical Billers. Another great organization is the Association of Registered Professionals. After they complete the medical …
The Right Medical Billing Code For Home Dialysis
Using The Right Medical Billing Code For Home Dialysis A simple, but crucial medical billing change has recently occurred. Beginning on October 1, 2005, the Medicare durable medical equipment regional carrier (DMERC) will no longer accept the diagnosis code 585.0. Instead of using ICD-9 585.0, medical billing should be done with the ICD-9 code 585.6 for home dialysis charges. The code 585.0 means chronic renal failure. This code has now been discontinued and the DMERC will no longer be lenient on the code. The more descriptive code, 585.6 (end stage renal disease) much more accurately describes the diagnosis for home dialysis. It is important that your medical billing staff note …
Using V58.3 Correctly In Your Medical Billing
Using V58.3 Correctly In Your Medical Billing Using code V58.3 in medical billing should be used with care. Beginning on October 6, 2005 the Regional home health intermediary conducted a review of all claims submitted with this code. V58.3 means attention to surgical dressings and sutures. Soon this medical billing code will be closely scrutinized for medical necessity. Now a days, the Centers for Medicare & Medicaid Services closely examines each and every claim that comes through their department. Over billing and fraud have become so prevalent, that they must keep a close eye on these medical billing practices. One of the codes they have decided to crack down on …
Using The 3-Year Rule In Your Medical Billing
Using The 3-Year Rule In Your Medical Billing Did you know that the medical billing rule states that your patient is new if you haven’t seen them for three years? There are usually several questions people have about how to code a semi-established patient. There are some simple medical billing tips to keep in mind when performing this task. It is a common medical billing mistake to bill for a new patient visit when the patient is merely visiting a different doctor in the same medical practice. The rule states that if you are using the same provider code, then you are considered one entity. Even if the time spent …
