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major news in medical billing
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Topic: major news in medical billing (Read 16300 times)
best biller
Jr. Member
Posts: 72
major news in medical billing
«
on:
December 02, 2012, 11:16:28 PM »
Is there any upcoming news for year 2013 which billers and doctors are suppose to know?
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Michele
Administrator
Hero Member
Posts: 5927
Re: major news in medical billing
«
Reply #1 on:
December 03, 2012, 11:02:53 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
Jr. Member
Posts: 72
Re: major news in medical billing
«
Reply #2 on:
December 03, 2012, 04:57:57 PM »
Thanks so much,
Is there anything coming up for internal medicine?
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RichardP
Hero Member
Posts: 757
Re: major news in medical billing
«
Reply #3 on:
December 03, 2012, 07:34:56 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
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davidharvey
Newbie
Posts: 24
Re: major news in medical billing
«
Reply #4 on:
February 13, 2013, 09:23:26 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.
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Medical Billing Service
Medical Billing Forum
Re: major news in medical billing
«
Reply #4 on:
February 13, 2013, 09:23:26 AM »
elizabethberger
Newbie
Posts: 7
Re: major news in medical billing
«
Reply #5 on:
March 08, 2013, 04:43:54 AM »
Thanks...
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PMRNC
Hero Member
Posts: 4562
Re: major news in medical billing
«
Reply #6 on:
March 08, 2013, 06:11:44 PM »
Too bad that's changed. 2% cuts go into effect April 1
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Billergirlnyc
Full Member
Posts: 106
Re: major news in medical billing
«
Reply #7 on:
March 08, 2013, 07:14:50 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/
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Don't worry. Be happy.
~Dalia, CPC, CPC-H, RHIT.
PMRNC
Hero Member
Posts: 4562
Re: major news in medical billing
«
Reply #8 on:
March 08, 2013, 10:39:28 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.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
medbillllc
Newbie
Posts: 24
Re: major news in medical billing
«
Reply #9 on:
March 11, 2013, 11:19:16 PM »
Most recent news is 2% cut due to Sequester
http://medbill.net/2013/03/competitive-bid-rates-reduced-by-2/
and PECOS edits.
http://medbill.net/2013/03/are-you-prepared-for-the-may-1st-pecos-edits/
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Keith Kuhn
MedBill
, LLC
Professional
DME Billing Services
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Medical Billing Forum
Re: major news in medical billing
«
Reply #9 on:
March 11, 2013, 11:19:16 PM »
medbillllc
Newbie
Posts: 24
Re: major news in medical billing
«
Reply #10 on:
March 23, 2013, 07:55:08 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/
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Keith Kuhn
MedBill
, LLC
Professional
DME Billing Services
Connect on Linkedin
@MedbillDME on twitter
medbillllc
Newbie
Posts: 24
Re: major news in medical billing
«
Reply #11 on:
April 04, 2013, 04:12:17 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/
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Keith Kuhn
MedBill
, LLC
Professional
DME Billing Services
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@MedbillDME on twitter
PMRNC
Hero Member
Posts: 4562
Re: major news in medical billing
«
Reply #12 on:
April 05, 2013, 11:46:08 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!
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
medbillllc
Newbie
Posts: 24
Re: major news in medical billing
«
Reply #13 on:
April 15, 2013, 01:01:25 PM »
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/
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Keith Kuhn
MedBill
, LLC
Professional
DME Billing Services
Connect on Linkedin
@MedbillDME on twitter
ckeenan32104
Newbie
Posts: 1
Re: major news in medical billing
«
Reply #14 on:
April 16, 2013, 11:47:54 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
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Medical Billing Forum
Re: major news in medical billing
«
Reply #14 on:
April 16, 2013, 11:47:54 AM »
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Medical Billing Forum
»
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Michele
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major news in medical billing