Author Topic: major news in medical billing  (Read 9991 times)

PMRNC

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Re: major news in medical billing
« Reply #15 on: April 16, 2013, 11:40:19 AM »
Quote
I've added the 2 together with a + in the middle as instructed and still denied.  Help Please?!

What do you mean the + in the middle.. the plus is only a descriptor in the CPT guide to indicate it's an "add on code".   Can you be more specific as to the denials you are receiving, type of provider. Since you are utilizing the E/M I am assuming two things;  1) medication/pharmacological management is being done and the provider type is a prescribe acting within the scope of his license. If using the add on psychotherapy codes it's assumed then there is documented psychotherapy as well being performed.  The biggest reason providers are having tough time with these new codes is the E/M, this is ONLY going to affect prescribers! If you are billing for a therapist or non prescribing provider you won't be able to utilize the E/M codes. The prescribers having a problem with this seem to be the ones that never utilized E/M even though MD's (Psychiatrists) were always able to utilize it so long as all elements of the E/M are utilized. I know some other problems were that carriers had not loaded newer fee schedules for a while but for most part all carriers seem to be on board from what I'm seeing.   The time thing has a few non prescribers a little confused as well.    Need more info as to the denials you are getting.

Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

medbillllc

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Re: major news in medical billing
« Reply #16 on: April 22, 2013, 03:25:19 PM »
An Accredited Medicare DME Provider broke down the Competitive Bidding Results in their are and came up with some really good questions.  This is a good read.

http://medbill.net/2013/04/15-questions-to-cbic-from-accredited-medicare-dme-provider/

PMRNC

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Re: major news in medical billing
« Reply #17 on: April 22, 2013, 06:38:01 PM »
that has nothing to do with mental health billing or her denials.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

medbillllc

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Re: major news in medical billing
« Reply #18 on: April 23, 2013, 11:56:17 AM »
that has nothing to do with mental health billing or her denials.

This thread is for industry news.  I think ckeenan32104 posted a question in the news thread.

ckeenan32104 may want to repost in a new thread in order to get more responses.

medbillllc

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Re: major news in medical billing
« Reply #19 on: April 29, 2013, 09:45:20 AM »
The Major News keeps coming.

On Thursday Rep. Tom Price introduced H.R. 1717.  It has been Referred to the House Committee.  The Market Pricing Program Bill would replace Competitive Bidding.

Here is the article with information on the Bill and contact information for Congress Members.  Currently HR 1717 has 25 Cosponsors.  We need more.

http://medbill.net/2013/04/market-pricing-program-bill-h-r-1717-introduced/

Also on Thursday CMS Announced that they will be Delaying the implementation of PECOS Phase 2 Edits.

http://medbill.net/2013/04/cms-delays-pecos-phase-2-implementation/

medbillllc

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AAHomecare to Merge with NAIMES....
« Reply #20 on: April 29, 2013, 09:47:37 AM »
On Friday it was announced that AAHomecare and NAIMES will be merging.  The merger is said to be effective as of May 22nd.

http://medbill.net/2013/04/aahomecare-to-merge-with-naimes/

medbillllc

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Re: major news in medical billing
« Reply #21 on: May 16, 2013, 08:22:35 PM »
The deadline is approaching for competitive Bidding Grandfathering notification.

May 20th is the deadline to meet the 30 day requirement.

http://medbill.net/2013/05/deadline-approaching-for-competitive-bidding-grandfathering-notification/

LaylaTaylor

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Re: major news in medical billing
« Reply #22 on: August 23, 2013, 01:57:35 AM »
A couple new items of news.

CMS released the round 2 Competitive Bidding Winners for DME last week.

The Press Release can be found here: http://medbill.net/2013/04/cms-releases-list-of-contract-suppliers-selected-under-medicare-competitive-bidding-program/

Good articles....
Need to be updated about latest changes and happenings..