Medicare Hospice Modifier GV and GW
When billing the Care Plan Oversight for Hospice Patients we use Medicare modifiers: The GV and GW modifiers. Learn more about the distinction between the GV and GW modifiers.
Continue ReadingMedical Billing and Coding Topics
These articles cover topics concerning medical billing and coding.
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.
Continue ReadingCommonly Used Medicare Modifiers – GA, GX, GY, GZ
In this article, you will learn how to indicate whether or not an Advanced Beneficiary Notice was given to the patient. Also, you will learn more about the medical billing modifiers to use when submitting charges to Medicare.
Continue ReadingConsultation Codes: A Quick Reminder on How to Bill
A consultation is an evaluation and management service provided at the request of another physician to either recommend care for a specific condition or problem. Here we will discuss when to bill for a consultation, the documentation requirements, appropriate consultation codes, and consultations for established patients.
Continue ReadingMEDICARE UPDATE: Medicare Reimbursements Increase by 2.2 %
The House of Representatives just passed the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (H.R. 3962). Learn more about what this exactly means and how it will affect your medical practice.
Continue ReadingCONSULTATION BILLING: Report to Provider Requesting Consultation
When you are billing for a consultation, there are many requirements to fulfill. In this article, we will be discussing those requirements and how to report to provider requesting consultation.
Continue ReadingElectronic Visits Improve Access and Streamline Medical Billing
E-visits are an efficient way to provide care to established patients. These visits take non-urgent medical issues online which frees up time for face-to-face visits with patients. Here we discuss if electronic medical appointments increase revenue for your medical practice.
Continue ReadingHealth 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.
Continue ReadingLooking for the Meaning of Meaningful Use
The meaningful use of definition is a confusing term because the definition itself is still in development. The proposed Centers for Medicare and Medicaid Services definition states that a hospital or provider will be considered to be a “meaningful EHR user” if they meet three requirements. Learn more about those three requirements here!
Continue ReadingHIPAA Privacy and Security Changes in the HITECH Act
Jonathan Krasner from Business Engineering, Inc shares an article about the HITECH Act and it’s suggested IT Policies and Procedures. Here you will learn what your medical practice needs to do with the new HIPAA regulations.
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