Author Topic: Welcome Members!  (Read 54764 times)

patelpm

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Re: Welcome Members!
« Reply #45 on: October 21, 2010, 08:08:49 AM »
Had a question about credentialing with health insurance companies. Is it possible to get credentialed with two years of residency training? I have completed two years of internal medicine residency training. Thanks.

naomi53

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Re: Welcome Members!
« Reply #46 on: December 13, 2010, 11:07:04 AM »
Hi. My question is about the new workers compensation Medical Treatment Guidelines. Billing under Physical Therapy the referring MD says shoulder 3x week for 6 wks diagnosis shoulder sprain.  I would like to know how to use a more specific diagnosis along with sprain shoulder.  A physical therapist treats the symptoms of the injury or disease of the diagnosis.  Please advise so we can have a game plan under the new Medical Treatment Guidelines.  Thank you

Michele

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Re: Welcome Members!
« Reply #47 on: December 13, 2010, 11:43:20 AM »
Naomi53, are you in NY?
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Steanie

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Re: Welcome Members!
« Reply #48 on: February 20, 2011, 08:36:02 PM »
Hi my name is Celest and I have an associates degree in Medical Billing and Coding. I am currently working towards getting certified for both the coding and billing. My goal is to open a medical adminstrative service in my town. I plan to not only help my clients but employees as well. I desire to open an office  that continues to grow and educate both the clients and employees regarding billing, coding and claim processing. I look forward to coming to this forum throughout my phrase of preparing to opening my office soon. I will be purchasing your books and some of your courses as well to create my dream of owning my own business. Thank you for such a great site.

Michele

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Re: Welcome Members!
« Reply #49 on: February 21, 2011, 07:13:46 AM »
I should have read this post before I answered your other one!  My bad.  Anyway, it is an interesting concept.  I would be curious to know more of your idea.

Best of luck!

Michele
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Billergirlnyc

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Re: Welcome Members!
« Reply #50 on: July 25, 2011, 12:49:03 AM »
Just wanted to say hi!!  :) Name is Dee live, work, and bill in NYC. Currently finishing-up courses in chart auditing and coding. I've done every type of medical billing their is  ;D I love the board and hope to visit as often as I can, and will be purchasing some of the books.

Dee.
Don't worry. Be happy.
~Dalia, CPC, CPC-H, RHIT.

Michele

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Re: Welcome Members!
« Reply #51 on: July 25, 2011, 10:22:17 AM »
Hi Dee!  And Welcome!  We enjoy having people willing to share their knowledge with others!
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laurahartman

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Re: Welcome Members!
« Reply #52 on: April 16, 2012, 03:51:15 PM »
This is an awesome forum! Wish I would have found it sooner!

Michele

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Re: Welcome Members!
« Reply #53 on: April 16, 2012, 07:29:00 PM »
Glad to have you!  ;)
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meagnash

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Re: Welcome Members!
« Reply #54 on: July 13, 2012, 01:09:05 PM »
I am so glad I found this forum online! I look foward to learning even more as I continue to try and build my medical billing business :)

codingnerd81

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Re: Welcome Members!
« Reply #55 on: November 10, 2012, 04:03:07 PM »
Hello everyone how are you

I would like to say I am a newbie to billing and coding.  I currently attend Virginia College in Florida and am learning many new things every day.  This forum will only enhance the experience that I have and help me to gain knowledge.

To all those that run this site, and to its contributors, thank you.


Michele

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Re: Welcome Members!
« Reply #56 on: November 13, 2012, 09:37:56 AM »
You're welcome.
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Paper Michelle

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Re: Welcome Members!
« Reply #57 on: December 28, 2012, 02:43:45 PM »
Thanks for the welcome note!  I am new to this Forum as of a few minutes ago!  Gettin' on track at the years end.  I am in search of an unusual topic though.  (Well, new to me anyhow).
Insurance reduced a (current) payment due to over paying previously claims.  I have to adjust 4 different claims (other patients/visits) in order to recoup enough to pay the claim that was shorted in the current payment. I have all of the paperwork to show me what they adjusted and how much.  I'm not to sure what amount to adjust though.
The claim was sent with the wrong CPT code.  So the insurance paid the higher amount.  To help you see, here's some numbers.
Claim 115 - CPT 90801, pd 92 w/no adjustment = 23 bal.
They are reducing the payment by 25.59. 
If I reduce the claim by 25.59 (debit) the total is 48.59.  So, do I then go back into the visit and do a credit adjustment?  The total the patient should be paying is only 16.60.  She's made a co-payment of 4. So, when all is said and done, she should only have a 12.60 balance. 
I don't understand how to get there 12.6 from 23. and do all the right math etc.

Have a thoroughly confused everyone?  Does this look right: 115.-92.+92.=115 - 4 = 111. - 66.41 = 44.59 - 31.99 = 12.6 (next line is words to match numbers - orig. chg - ins. pymt + ins pymt = orig chg - copay = new bal. - correct ins. pymt = bal - ins. adj = new copay bal.

Is there a simpler way to do this?  Can anyone help me?

PMRNC

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Re: Welcome Members!
« Reply #58 on: December 28, 2012, 03:51:15 PM »
Quote
Insurance reduced a (current) payment due to over paying previously claims.  I have to adjust 4 different claims (other patients/visits) in order to recoup enough to pay the claim that was shorted in the current payment. I have all of the paperwork to show me what they adjusted and how much.  I'm not to sure what amount to adjust though

I have terrible head cold so I'm going to forgo the math and tell you how I handle that situation. I take and adjust EACH claim separately. Sometimes if it's a bit complex, you can reproduce the corrected claim, mark it as submitted/complete (however your PM software handles that) and post correct payment and if it works out per claim, just void out the original. Just make sure you do NOT delete, it will hurt the audit trail.
Linda Walker
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www.billerswebsite.com

pamela77

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Re: Welcome Members!
« Reply #59 on: February 14, 2013, 09:50:23 AM »
Hello my name Is Pamela and I am a student. I really love my career choice but I ran into a dead zone. I am having problems with Advance Coding and want to give up. I'm reading here how many years each off you been in business and I'm inspired. Where can I find help