Medical Billing and Coding Topics - CaptureBilling.com - Medical Billing Services
Health Insurance Companies Process 1 in 5 Claims Wrong.

Category Archives for Medical Billing and Coding Topics

Medical Billing and Coding Topics

These articles cover topics concerning medical billing and coding.

CPT Code Updates January

Limit Your CPT® Code Set Updates to January? Here’s Why That’s a Bad Idea

Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date. But do you know how often you need to update your CPT® code set? It may be more often than you think. Here are some pointers to keep in mind to give your claims their best chance at accurate payment.

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How Secure Is Your Healthcare Data? 7 Steps To Protect Patient Information

Last year, 9 out of 10 physicians said they’ve transitioned to electronic medical records (EHR) and it’s estimated that by 2018 nearly of the 3.4 billion smartphone and tablet users will have downloaded some sort of health related apps, so it’s easy to see that there are several ways for patient information to be at risk.

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How to Read Your Medical Practice’s Accounts Receivable Aging Report And Why It’s Important to You

Medical billing reports are a key barometer for understanding what’s going on in your medical practice. Without good reporting, it’s difficult to determine whether your practice is making money or not. In this post we will look at the Accounts Receivable Aging Report for your medical practice.

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Medical Billing for Private Practices: Don’t You Want to Get Paid?

In some scenarios, in-house medical billing is more efficient than outsourcing. However, the key is always to generate the highest return on investment. In most all cases, a medical billing company can save you money on overhead costs, employee wages, reduce the risk of errors, provide consistency and make you more money too.

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Why Content Marketing Matters to Medical Practices

Marketing professionals are always talking about how effective content marketing is, but does content marketing matter to medical practices? The answer is YES. In this post you will find out what content marketing is and how you can use it to fill empty appointment slots at your clinic.

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How to Monitor and Promote Online Feedback for Your Medical Practice

While there’s many ways to control your medical practice’s online presence, affecting what patients say about your medical practice on review sites can seem like a different story. And since nearly four out of ten patients view physician rating sites as very important when choosing a doctor, this isn’t something medical practices can afford to take lightly.

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Infographic: How Baby Boomers Will Impact the Nursing Shortage

To meet the rising demand for healthcare services from this population, the Bureau of Labor estimates that more than a million nurses will be needed within the next few years. While the nursing shortage certainly isn’t a new problem, it’s quickly shaping into one of the biggest obstacles for medical practices in the 21st century.

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Capture Billing Listed in Top 100 Healthcare Blogs

Capture Billing is proud to be listed as on of the Top 100 Healthcare Blogs on the internet with our Medical Billing and Coding Blog. Our and other blogs allow members of the medical community – and even those outside the healthcare industry – to keep up on trends, data, reimbursements and treatments.

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Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One

January 1, 2015, CMS will officially roll out four new HCPCS modifiers that can be used when billing Medicare claims. Dubbed the –X{EPSU} subset, they may or may not be used instead of modifier 59. This post has a few examples of when you might use each of these new modifiers. Leave a comment on how your office uses the new modifiers.

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Windows XP: Hidden HIPAA Violation for Medical Practices

If your medical practice has made any computer purchases within the past 12 years, you might currently be violating HIPAA and not even realize it. On April 8, 2014 Microsoft ended ongoing support for Windows XP, their popular 12-year old operating system. Security patches will no longer be written. See what this means if your healthcare facility is using outdated software, like XP?

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Affordable Care Act’s 90-Day Grace Period is Risky Business for Physicians

Loopholes in the Affordable Care Act (ACA), also known as Obamacare. allow insurers to potentially hold & retroactively deny your claims affecting your medical practice’s revenue. Your medical billing staff will have to be on their A-game. If they aren’t, your practice’s revenues and financial stability will likely take a huge hit.

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Manny Oliverez

American Academy of Professional Coders Has Elected Manny Oliverez of Capture Billing as Local Chapter Vice President for 2012

The CEO of Capture Billing, Manny Oliverez, has been elected as the Vice President of the AAPC. His responsibilities include assisting the president with chapter activities, proctoring certification exams, and ensure access to the chapter handbook. Learn more about the AAPC and every opportunity that they provide.

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Katie Jennings

Capture Billing Teaches Medical Billing, Coding and Collections at Local Community College

Capture Billings Katie Jennings will be teaching a two-part class on medical billing, coding, and collections at Northern Virginia Community College in Sterling, Virginia. Students will learn about data entry, claim adjustments, write-offs, as well as other topics, with an introduction to medical billing software and management.

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Doctor discussing the Well Woman Exam with their patient

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397

Medicare Billing for Well Woman Exam Using Codes G0101 and Q0091 and Annual Wellness Visits AWV G0438 and G0439 As we are all aware, Medicare now allows for the Annual Wellness Visit (AWV) G0438 or subsequent AWV G0439, but how does this relate to an annual Well Woman Exam?  IT DOESN’T. An annual Well Woman …

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397 Read More »

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Doctor and Patient during an Annual Wellness Visit

Medicare G0438 – G0439: Two Annual Wellness Visit Codes

Medicare provides coverage for Annual Wellness Visits. This benefit was included in the Affordable Care Act of 2010. Medicare has come up with two HCPCS codes for these well visits for medical billing purposes. The codes are G0438 and G0439.

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Medicare Codes for Flu Shots: Q2034, Q2035, Q2036, Q2037, Q2038

Do you know the codes to bill Flu Shots? The Centers for Medicare & Medicaid Services (CMS) no longer recognizes and does not reimburse CPT Code 90658 Influenza Virus Vaccine, Split Virus for flu shots. We will provide you with Medicares influenza vaccine Q codes! Learn more about how to differentiate these codes and how the fee schedule!

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Vaccination protection influenza

Coding for the Flu Shot: Three Vaccines, One Code

The FDA has determined that one single flu shot containing vaccines for the H1N1, H3N2, and B/Brisbane influenza viruses should be sufficient to ward off this coming season’s most commonly circulating viruses. With this said, a single flu shot means a single medical billing code that will eliminate last-minute billing confusion. In this article, you will learn more about Influenza Vaccine Guidelines and Coding for the flue shot and spray.

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Medical Billing Services- Need Help with ICD-10 Coding -Capture Billing 703-327-1800

ICD-10 is Coming. Will Your Medical Billing Department Be Ready?

There is an increase in the number of billing codes, from 14,000 to 69,000. The ICD-10 diagnosis codes will take effect on October 1, 2015. Medical Billing Coders will need to have a more detailed knowledge of anatomy and physiology, as well as medical terminology. Coders will also have to work more closely with doctors and educate them on proper coding methods.

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Insurance Claims

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

An Advance Beneficiary Notice (ABN) is a Medicare waiver of liability that providers are required to give a Medicare patient for services provided that may not be covered. In this article, we explain the importance of ABN, how it protects your patients, when do they not apply, proper completion, and modifiers required when billing.

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Health Insurance Companies Process

Health Insurance Companies Process 1 in 5 Claims Wrong

The American Medical Association (AMA) has come out with a report stating that one in five medical claims submitted to health insurance companies is processed inaccurately which leaves physicians and other healthcare providers receiving lower or no reimbursements for services provided. Physicians need help to submit their claims timely and accurately with all the proper coding, modifiers, and supporting documentation when preparing their claims for insurance submission.

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Is Outsourcing Your Medical Billing a Good Idea?

Deciding if and when to outsource your medical billing tasks to a third-party is one of the most important choices that a provider will ever make. Choose wisely, and revenues will be more and headaches will be less. Choose foolishly, and the provider will have more work cut out for them after outsourcing their medical …

Is Outsourcing Your Medical Billing a Good Idea? Read More »

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HIPAA-Patient-Charts-Secured

HITECH Act Privacy and Security

Changes to Current HIPAA Laws and Regulations My colleague Jonathan Krasner at Business Engineering, Inc. in Reston, Virginia sent me the following information about HIPAA changes that take effect this week. His information pertains to physician offices, medical billing companies, hospitals and a host of other healthcare facilities and vendors. Congress passed and President Barack …

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Doctors Should Run Their Practices Like a Business

I was reading a blog post entitled ‘Doctor: Why I decided to join and insurance-free practice’ about a primary care physician joining a practice that does not take insurance because he was not making any money at his current practice. I help run a large physician’s practice and medical billing and consulting firm.  I hear doctors complaining …

Doctors Should Run Their Practices Like a Business Read More »

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