Jan 30, 2010 | Medical billing basics
What is Workers Compensation Insurance?WC insurance protects employers and injured workers from financial costs when a worker sustains a work-related injury or disease.The workplace is the spot where most injuries take place. Each State and Territory has a compulsory...
Jan 29, 2010 | Medical billing basics
PAYER ON JANUARY 27, 2010: HEALTH CARE ALERTS & PROVIDER ALERTS MESSAGES – JANUARY 2010 PROVIDER TYPE(S): 25, 26, 29, 30 –SUSPEND BILLING FOR CMS 1500 CLAIMS WITH MODIFIER 24– PROVIDERS ARE ASKED TO TEMPORARILY SUSPEND BILLING OF CLAIMS WITH...
Jan 28, 2010 | Medical billing basics
CLAIM FOLLOW-UP SCHEDULEThe following schedule is recommended for written and telephone follow-up for outstanding claims:30 DaysMail or fax a follow-up letter containing all relevant claim information (including original filing date) and a copy of the original claim....
Jan 28, 2010 | Medical billing basics
EFFECTIVE FEBRUARY 19, 2010, FOR DATES OF SERVICES ON OR AFTER JANUARY 1, 2010, REIMBURSEMENT RATES FOR THE FOLLOWING SERVICES WILL CHANGE FOR TEXAS MEDICAID: RESPIRATORY SYSTEM SURGERY, DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE, MUSCULOSKELETAL SYSTEM SURGERY,...
Jan 27, 2010 | Medical billing basics
What is Account Receivables? Receivables are defined as amounts due and expected to be collected by billing / provider’s office for the services provided to individuals. In Medical Billing, receivables are handled by Account Receivables Department. Account Analyst...
Jan 26, 2010 | Medical billing basics
Diagnostic CodingDiagnostic coding began as a means by which statistical information was gathered to track mortality and morbidity. Subsequent changes to add clinical information resulted in a coding structure that describes the clinical picture of a patient as well...
Jan 26, 2010 | Medical billing basics
Common Terms used in financial:Charges: This is the total value the amount billed for all tickets entered during the period.Charge Adjustment: Charge adjustment in simple terms means adjustment to the charge amount billed. In certain circumstances, the doctors may...
Jan 24, 2010 | Medical billing basics
Daily ReportsAfter the daily routine of demographics, charge entry, claims processing etc are done, the accounting day is closed. This is a process wherein you are closing a particular day and opening the next day for data entry. After this process is completed and...
Jan 24, 2010 | Medical billing basics
When a new provider has joined the group, we need to ensure the following:Does the provider have all the credentials?Does the provider have a State License? Without State License the doctor cannot perform in that State.Does the provider have a contract with major...
Jan 21, 2010 | Medical billing basics
AngioplastyA non-surgical technique for treating diseased arteries by temporarily inflating a tiny balloon inside an artery to push aside plaque build-up.AnteriorA term used by medical professionals meaning at the front of, or close to the front of the body....
