Jan 3, 2011 | Medical billing basics
The Texas Department of Insurance, Division of Workers’ Compensation has determined, pursuant to the authority and direction given under the Texas Workers Compensation Act (Texas Labor Code, Section 401.023), that any interest or discount provided for in the Act shall...
Jan 3, 2011 | Medical billing basics
A treating doctor or certifying doctor who determines that an injured employee has reached MMI and assigns an IR shall provide the injured employee with a written notice that the certification may be disputed. That notice shall be provided as a separate document...
Dec 29, 2010 | Medical billing basics
Determination of Level of E&M Code The three key elements in selecting the appropriate complexity of the E&M code are history, examination, and medical decision-making. These components must meet or exceed the minimum requirements specified in the...
Dec 28, 2010 | Medical billing basics
HMO: Need a referral from PCP to see a specialist. Need to select a PCP with in network Low premium Dose not covered the out of network service PPO: Don’t need a referral from PCP to see a specialist. Don’t necessary have to choose a PCP High premium dose cover the...
Dec 28, 2010 | Medical billing basics
Abortions On an annual basis, the number of legal, elective, or therapeutic, and illegal abortions that are performed in DoD MTFs must be reported to Congress. Use of the 635, 636 and 637 codes should be carefully scrutinized. Do not use 635-638 unless you...
Dec 28, 2010 | Medical billing basics
DoD-Unique V-Code Guidance for Exams, Education, and Counseling Services DoD extender codes have also been paired with selected V codes to further specify education and counseling services. The addition of DoD extender codes to the root code V70.5 enables the...
