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.
Using 92552 Correctly To Avoid Fraud Charges
Using 92552 Correctly To Avoid Fraud Charges Medical billing companies for audiology practices have long struggled over when to use the cpt codes 92552 versus 92551. 92551 means: screening test, pure tone, air only. 92552 means, pure tone audiometry (threshold); air only. You may be thinking, “What’s the difference?”. By definition, the difference between the two cpt codes is slight, but when medically billing these codes, it is huge. To avoid fraudulent charges, correct billing of 92552 is necessary. First we will begin with what it means to use 92551 in medical billing. Simply put, an audiologist places headphones on a patient. Then the doctor sets the machine at a …
How Can Medical Billing Benefit Your Practice?
How Can OMG Medical Billing Benefit Your Practice? Medical billing is a complicated process, that if not done correctly, can lead to a loss of revenue and underpayment. Outsourcing medical billing can help eliminate some of these losses. There are several benefits to using a medical billing company. It has been said that 30% of all medical services are never reimbursed to the health care provider. This is due to poor follow-up to insurance companies and to patients themselves for medical practices. Too often, medical office personnel are stretched to their limits. They are responsible for medical billing, advertising, scheduling, and customer service. Medical billing companies can alleviate some of …
Top Medical Billing Claim Submission Errors
Top Medical Billing Claim Submission Errors If you’ve only been doing medical billing for a short period of time or you’re an old hat at it, you know that handling Medicare medical billing claims can be tricky. A recent study from Medicare identified the top medical billing claim submission errors and addressed them. Most of these are due to medical billing claims being filed in house in the physician’s office direct to Medicare. If a physician outsources their medical billing, they will see their rejection and denial rate drop to less than 1% in most cases. Homebound patients make up a large part of Medicare claims and the simple lab …
How is Medical Coding Different From Medical Billing?
How is Medical Coding Different From Medical Billing? Although the words medical billing and medical coding sound to be one-in-the-same, there are some integral differences that distinguish the two tasks from each other. When examining the differences between medical billing and medical coding, it is first important to understand what the two actually are. Medical billing is the process of submitting insurance claims forms from medical providers to insurance companies. In turn, healthcare providers get paid for their services rendered. A medical biller executes this plan. They know the ins and outs of basic insurance coverage and are the people who make sure healthcare providers get paid. This can be …
Top 3 Types Of Appeals Filed In Your Medical Billing Claims
Top 3 Types Of Appeals Filed In Your Medical Billing Claims Filing appeals for your denied medical billing claims is never a fun affair. In many cases, these denials of claims could have been avoided completely with just a little bit of preparation with your medical billing claim. The number one type of appeal filed on medical billing claims was on claims denied due to diagnosis reasons. This can be due to incorrect coding, under or over coding and the biggest offender in this category dealt with medical billing claims that were coded using outdated codes. The ever changing world of diagnosis codes is not easy to keep up with …
DOA One Of The Hardest Medical Billing Claims To File
DOA One Of The Hardest Medical Billing Claims To File When a patient dies en route or shortly after being admitted, coders and billers often struggle on the amount of, if any, procedures performed by the physician prior to the patient’s expiring. Here is a good example of how to code one situation: EMS contacts the ED for CPR direction, and is directed by the ED physician pertaining to defibrillation and medications. When EMS brings the patient into the ED, the doctor examines the patient and decides there isn’t cause to continue CPR and pronounces the patient dead. On your medical billing form, you would usually bill 92950 (Cardiopulmonary resuscitation) …
Medical Billing For Types Of Medicare.
Medical Billing For Types Of Medicare. Medicare can be tricky to submit medical billing claims to. They require each and every line regarding procedures performs to be documented and noted on the medical billing form prior to submission. Failure to do so can get your Medicare medical billing claims only partially paid or worse outright rejected, and rejected medical billing claims not only stop your revenue flow back into your practice, it also ties up your staff with the duties of pulling patient files, checking the forms, refiling the medical billing forms, double checking the file to make sure everything is documented and then re-submitting the claim to Medicare. Another …
Medical Billing Tips Consider Dermabond a Simple Closure
Medical Billing Tips Consider Dermabond a Simple Closure When filing your medical billing claims for laceration repairs. Most carriers recommend that you code Dermabond as a simple closure when preparing your medical billing forms. If the wounds are located in the same anatomical area you should add these wound lengths together and only report one simple repair code on your medical billing form. A good example of this is if a surgeon repairs a patient’s lacerations using Dermabond in three separate places on the left arm; in order to report the procedure performed correctly, you should choose the most accurate code from the 12001-12007 series (Simple repair of superficial wounds …
New Patients And Old Patients – Medical Billing Differences
New Patients And Old Patients – Medical Billing Differences There is a lot of confusion in many physician’s offices on how to handle the coding & medical billing of services rendered to an old patient and a new patient. New patient medical billing requires a lot more work than an established patient and this is reflected in the new coding requirements as well as reimbursement for your medical billing. One key to differentiating between new and established patients is understanding two terms used in CPT’s definition of a new patient: “professional services” and “group practice” and the understanding that Medicare’s definition of a new patient is slightly different than CPT’s. …
ICD-9 vs. CPT Coding
ICD-9 vs. CPT Coding In the world of medical billing, coding of the medical billing forms actually requires the use of two coding systems, one that identifies the patient’s disease or physical state (the International Classification of Diseases, 9th Revision, Clinical Modification, or ICD-9-CM, codes) and another that describes the procedures, services or supplies you provide to your patients (the Current Procedural Terminology, or CPT codes). To differentiate between these coding systems, think of it this way: CPT codes describe what services you perform, and ICD-9 codes describe why you do it. Each service you render to a patient becomes a line on an insurance claim form. Your level of …
