Medical Billing

These are the point that all the medical billing resources need to keep in mind before sending electronic Medical records . According to Novitas: Under the Health Insurance Portability and Accountability Act (HIPAA), claims for reimbursement by the Medicare Program must be submitted electronically, except where waived, even for claims with attachments. The process at Novitas Solutions for accepting medical documentation and attaching it to the electronic claim has been improved due to our imaging system. The Claim Supplemental Information segment (PWK) is used whenever paper documentation has been sent for an electronic claim. When sending an electronic claim that contains an attachment, follow these rules to submit the attachment for your electronic claim: Maintain the appropriate medical documentation on file for electronic (and paper) claims. Complete the  Medicare Part A Fax/Mail Cover Sheet  * or the  Medicare Part B Fax/Mail Cover Sheet  * form. For accurate pro

Medical Billing CPT 99000 , Handling and/or conveyance of specimen for transfer from the physician's office to a laboratory," is intended to be reported when the practice incurs costs to handle and/or transport a specimen to a lab. In Medical Billing CPT 99000 is used when the work involved in the preparation of a specimen prior to sending it to the laboratory.   We cannot consider CPT 99000 for venipuncture for that we have to use CPT 36415 Most of the insurance including Medicare considering CPT 99000 as bundled procedure in other words CPT 99000 is not a separately payable CPT. For Medical Billing | Medical Billing Updates | please visit us

How to bill screening colonoscopy in Medical Billing   CPT 45380 & 45385   First will see what is screening colonoscopy, physicians suggest a colorectal cancer screening (colonoscopy) typically when a healthy patient turns age around 50. The procedure entails a colonoscope inserted in the anus moved through the colon past the splenic flexure in order to visualize the lumen of the rectum and the colon. It is used to provide an early diagnosis of colorectal cancer, diverticulosis, ulcerative colitis, Crohn’s disease, etc. The diagnosis code for the screening is selected from the V code section V76.51 (Special screening for malignant neoplasms, colon). The CPT code would be 45378 (Colonoscopy, flexible, proximal to splenic flexure, diagnostic). Polypectomies While during the screening if the polyp is discovered and than a polypectomy is performed, the ICD-9 coding sequence would be V76.51 as your primary diagnosis, and the polyp or abnormality as secondary. When we choose th

What is CPT 69990 , CPT 69990 is a surgical operating microscope procedure, and it is used to get a good visualization of the fine structure in the operating field. The lens system may be operated by hand or foot controls to adjust to working distance, with interchangeable oculars providing magnification as needed. This surgical microscope is used when a provider uses microsurgery techniques. This technique allows providers to operate in very small areas while protecting as much of the surrounding area as possible. For Medical Billing : Most of the insurance will not cover CPT 69990 as it is included CPT with all major surgery CPTs, Modifier with 69990 Since CPT 69990 it’s an add on code we should not append modifier 51 when we do as multiple procedure code & even Medicare will not pay for assistance surgeon when we use 80 modifier. For Any Medical Billing Updated , Medical billing related questions, please visit us.