Author Topic: major news in medical billing  (Read 9984 times)

best biller

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major news in medical billing
« on: December 02, 2012, 08:16:28 PM »
Is there any upcoming news for year 2013 which billers and doctors are suppose to know?

Michele

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Re: major news in medical billing
« Reply #1 on: December 03, 2012, 08:02:53 AM »
Right now I would say the changes in the mental health codes is the biggest change coming up.
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best biller

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Re: major news in medical billing
« Reply #2 on: December 03, 2012, 01:57:57 PM »
Thanks so much,
Is there anything coming up for internal medicine?

RichardP

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Re: major news in medical billing
« Reply #3 on: December 03, 2012, 04:34:56 PM »
Google on:  cms + "coding changes" (copy and paste if you wish)

That search provides quite a few links, both general and for specialties.  Here are three of the general links.

http://www.acpinternist.org/archives/2012/11/coding.htm

http://www.hcpro.com/HIM-283402-3288/2013-IPPS-Final-Rule-Coding-HAC-CCMCC-and-MSDRG-changes.html

http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html

davidharvey

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Re: major news in medical billing
« Reply #4 on: February 13, 2013, 06:23:26 AM »
Medicare Reimbursements Not Changing in 2013

Good news for doctors’ offices. The 26.5% cut in Medicare reimbursements to take effect January 1, 2013 has been averted as both the Senate and House voted to pass the “Fiscal Cliff” bill delaying Medicare cuts and adjustments to payments.

elizabethberger

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Re: major news in medical billing
« Reply #5 on: March 08, 2013, 01:43:54 AM »
Thanks...

PMRNC

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Re: major news in medical billing
« Reply #6 on: March 08, 2013, 03:11:44 PM »
Too bad that's changed. 2% cuts go into effect April 1
Linda Walker
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Billergirlnyc

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Re: major news in medical billing
« Reply #7 on: March 08, 2013, 04:14:50 PM »
Ditto to Linda. All do due to the automatic spending cuts that were triggered a week ago.

http://money.cnn.com/2013/03/02/smallbusiness/medicare-doctors-spending-cuts/
Don't worry. Be happy.
~Dalia, CPC, CPC-H, RHIT.

PMRNC

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Re: major news in medical billing
« Reply #8 on: March 08, 2013, 07:39:28 PM »
That's just reality.. you want to get into this business you need to prepare for all the QUICK changes and paces this industry takes.. it can sometimes be so tiring.
Linda Walker
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medbillllc

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medbillllc

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Re: major news in medical billing
« Reply #10 on: March 23, 2013, 04:55:08 PM »
Some More News....

CMS just released some more information on ICD-10.  They released an email update.  You can find the original release and links to thier resources below:

http://medbill.net/2013/03/icd-10-deadline-confirmed-by-cms-administrator/

Also.. for DME Billers out there, VADMEC restarted their 'we the people' petition on WhiteHouse.gov to do away with the competitive bid and transition to a proposed Market Pricing Program.  They need some signatures to get this noticed.  They could use our help.

http://medbill.net/2013/03/vadmec-asks-you-to-help-promote-the-market-pricing-program/

medbillllc

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Re: major news in medical billing
« Reply #11 on: April 04, 2013, 01:12:17 PM »
For those of you Billing for North Carolina Medicaid it looks like they are trying to move towards Managed Care Plans for Medicaid

http://medbill.net/2013/04/nc-governor-wants-medicaid-patients-in-managed-care-plans/


PMRNC

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Re: major news in medical billing
« Reply #12 on: April 05, 2013, 08:46:08 AM »
Medicaid Managed care plans are not new in a lot of areas. They have been doing it a while and I think you will see MORE states doing it with Medicaid Expansion. What I wonder on a persona level is why don't they create different tiered plans for Medicaid by income level.  I see nothing wrong with Medicaid patients having to pay a small copay/out of pocket, makes sense. Too many entitlement programs in this country leads to people taking advantage and that is what creates the financial mess we are in.  I'm glad I don't have anymore Medicaid, such a pain in the butt with little reimbursement. I had one client who was actually LOSING money with Medicaid!
Linda Walker
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www.billerswebsite.com

medbillllc

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Re: major news in medical billing
« Reply #13 on: April 15, 2013, 10:01:25 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/

A major issue is the distance in Miles that many of the bid winners are from the service area.  Some of these averages are 400 - 700 miles away.

Also.. i'm not sure if this will get any traction but there was a court ruling recently regarding the patient portion of Medicare Claims.  This ruling supposedly opens the door for providers to bill medicare for bad Patient Pay AR.  "Opens the Door" is the key phrase here.

read more here:
http://medbill.net/2013/04/court-ruling-opens-door-for-providers-to-seek-reimbursement-for-medicare-bad-debts/


ckeenan32104

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Re: major news in medical billing
« Reply #14 on: April 16, 2013, 08:47:54 AM »
 any one know what the deal is with this new billing in mental health?  I have all the codes but the insurances including medicare keep denying them.  I hear this is happening with many doctors seems the insurance companies have no idea what to do with them.  So they just send out denials.  Can anyone help?  Heres the coding i have.

PSY Add on Codes (E/M & Psychotherapy)

90833   Psychotherapy, 30 min

90836    Psychotherapy, 45 min

90838    Psychotherapy, 60 min
               
            
CPT Code

90791  New Patient Evaluation  No Medical Service

90792  New Patient Evaluation  With Medical Service

99212  Evaluation/Management  10 min

99213  Evaluation/Management  15 min

99214  Evaluation/Management  25 min

99215  Evaluation/Medical Management  40 min

I've added the 2 together with a + in the middle as instructed and still denied.  Help Please?!

Thank you!  Colleen