Medical Billing

Description: The purpose of this complex review is to ensure accurate reporting of CPT code 95165 (preparation and provision of antigens for allergen immunotherapy). How to bill 95165 Example if the provider determines that a patient requires a series of 10 1-cc doses and prepares a 10-cc, same visit he or she injects the first dose. Code 95115 (professional services for allergen immunotherapy not including provision of allergenic extracts; single injection) is billed for the injection and 95165 is also reported, with a "10" in the units box to indicate that 10 doses were prepared. For the remaining nine injections, only 95115 would be coded. For off-the-board antigen preparation, 95115 is billed along with one unit only of 95165.   Still some of the billing offices completely not understand on billing 95165, kindly review Medicare and coding guidance before billing 95165 to insurance.   You can follow us on google+ For any Medical billing updates or ...

Your billing office may not receive the payment on the following days in 2014, due to Federal Holiday 2014. Federal Holiday List 01/01/2014 – New Year – Wednesday 01/20/2014 – Martin Luther King Jr Monday 02/17/2014 – Washington‘s Birthday - Monday 05/06/2014 – Memorial Day – Monday 07/04/2014 – Independence Day – Friday 09/01/2014 – Labor day – Monday 10/01/2014 – Columbus Day – Monday 11/11/2014 – Veterans Day – Thursday 11/27/2014 – Thanks giving day – Thursday 12/25/2014 – Christmas - Thursday   Medical-billing-updates.blogspot.com

Dx311 – Depressive disorder, not elsewhere classified.   Diagnosis (dx) 311 (ICD-9) and ICD 10 – F32.9 can be used in the following situations Chronic depression Complaining of feeling depressed Depressed mood Depression Depression during labor and delivery Depression in childbirth Depression requiring intervention Depression worse in morning Depression worse later in day Depression, unspecified Depressive disorder Depressive position relationship Depressive preoccupation Feeling empty Feeling lost Feeling of loss of feeling Feeling unloved Feeling unwanted Feels everything is futile Involutional depression Major depression, melancholic type Masked depression Mild depression Minor depressive disorder Moderate depression On examination - depressed Postoperative depression Postpartum depression Postpartum ...

Herewith we have enclosed the dx code and descriptions for dx 630.00 – 759.99 COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM [630-677] [630-633] Ectopic and molar pregnancy. [634-639] Other pregnancy with abortive outcome. [640-648] Complications mainly related to pregnancy. [650-659] Normal delivery, and other indications for care in pregnancy, labor, and delivery. [660-669] Complications occuring mainly in the course of labor and delivery. [670-677] Complications of the puerperium. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE [680-709] [680-686] Infections of skin and subcutanious tissue. [690-698] Other inflammatory conditions of skin and subcutaneous tissue. [700-709] Other diseases of skin and subcutaneous tissue. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE [710-739] [710-719] Arthropathies and related disorders. [720-724] Dorsopathies. [725-729] Rheumatism, excluding the back. [730-739] Osteopathies, chondropathies, and acquir...

Magellan Behavioral Health of Virginia has been selected by the Virginia Department of Medical Services (DMAS) to serve as the Behavioral Health Services Administrator (BHSA). Beginning December 1, 2013, Magellan will administer behavioral health services for members enrolled in Virginia’s Medicaid and FAMIS programs.   And going forward claims has to be submitted to below address PO BOX 1099 Maryland Heights, MO - 63043

  S0020 Injection, bupivicaine hydrochloride, 30 ml This is the 2012 version of HCPCS S0020 - please refer to the 2013 HCPCS code set for the latest version, a dded on January 01, 2000 Status changed on Saturday, January 01, 2000 again its Undefined Codes. Medicare will not pay for S0020. If still want to get paid for S0020 you can change the procedure to J3490 again unclassified drug you can give a try by submitting J3490 instead of S0020.

Medicare 72 hour rule indicates that any outpatient (OP) diagnostic or any other medical services performed within 72 hours prior to admitted to the hospital should be bundled into on bill, so you cannot bill the claim separately. This is called Medicare 72 hour rule. Few diagnostic examples for Medicare 72 hour rule   Radiology Lab work CT Scans Anesthesia etc.,

Herewith we have listed the Medicare Part A & B Deductible, Coinsurance, and premium details for 2014 as follows. 2014 Part A Deductible $1216.00 Coinsurance $304.00 a day for 61 st – 90 th day $608.00 a day for 91 st – 150 th day (Life time reserve days) $152.00 a day for 21 st -100 th day ( Skilled Nursing Facility coinsurance) Base Premium $426.00 a month BP with 10% Surcharge $468.60 a month BP with 45 % reduction $234.00 month (For those who have 30-39 quarters of coverage) BP with 45% reduction and 10% surcharge $257.40 a month PART B Standard Premium $104.90 a month PART B Deductible for 2014 – $147 a year Pro rata data amount $114.99 1 st month 32.01 2 nd month Co Insurance 20% Thanks, Medical-billing-updates.blogspot.com

The History Of Present Illness is a chronological description of the development of the patient's present illness from the first sign or symptom or from the previous encounter to the present. It includes the following elements: - location - quality - severity - duration - timing - context - modifying factors & - associated signs and symptoms. Brief and extended History of present Illnesses are distinguished by the amount of detail needed to accurately characterize the clinical problem. A brief HPI consists of one to three elements of the HPI. The medical record should describe one to three elements of the present illness (HPI). An extended HPI consists of four or more elements of the HPI. The medical record should describe four or more elements of the present illness. Brief and extended HPIs are distinguished by the amount of detail needed to accurately characterize the clinical problem. A brief HPI consists of one to three elements of the HPI. The medical...

The CC is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for the encounter. And the medical record should clearly reflect the chief complaint.   A subjective statement made by a patient describing the most significant or serious symptoms or signs of illness or dysfunction that caused him or her to seek health care. It is used most often in a health history. Thanks, Medical-billing-updates.blogspot.com