Recent Posts

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Billing / Re: IV INFUSION CODE
« Last post by Michele on June 05, 2021, 12:50:08 PM »
HCPCS code J7040 for Infusion, normal saline solution, sterile (500 ml=1 unit) as maintained by CMS falls under Drugs, Administered by Injection .
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Billing / IV INFUSION CODE
« Last post by txfirstchoice on June 04, 2021, 08:06:17 PM »
I need to bill any j code for infusion of saline solution and Mayer's complex or just the 96360 and 96361, please if some one can help  me
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New! / Re: how to improve rcm?
« Last post by MED-MILES LLC on June 02, 2021, 08:22:31 AM »
A successful revenue cycle management process involves many steps, here are some of  them;

Improved Front-End
Verified Insurance Eligibility
Trained Staff
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New! / Re: The age old question of how to set fees for your Billing Service
« Last post by Michele on May 27, 2021, 03:44:04 PM »
There are some providers out there that just want what Tier 1 offers in the model below.  However I have been doing this for over 25 years and I find that most providers want more.  We do have a couple of out of network providers who only want the Tier 1 services, but over 95% want payment posting, aging, denials and appeals, and patient billing as well.
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General Questions / Re: Resigning from Medicare
« Last post by RichardP on May 26, 2021, 02:44:02 PM »
Medicare ... requires any patient that comes to see them sign a document ...

More specifically, that requirement is placed only on folks who have signed up for Medicare.

Medicare was established to, among other things, protect older folks who sign up for Medicare from unscrupulous providers who charge larger than customary fees.  So - Medicare has established rules and regulations that "protect" folks who have signed up for Medicare coverage.

Older folks tend to get increasingly forgetful as they get increasingly older.

Requiring these older folks to sign a new contract every two years is an effective way of reminding them that the non-Medicare provider they are about to employ is not prevented by Medicare from charging them fees that are larger than Medicare (in its attempt to protect the elderly) will allow.  The contract reminds them that they could see a Medicare Provider, who would charge them less because the provider is restricted by Medicare rules if he is a Medicare Provider.

Section 40 of this link covers opt out of Medicare stuff, including private contracts.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c15.pdf
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New! / Re: The age old question of how to set fees for your Billing Service
« Last post by MedlinkJD on May 26, 2021, 02:33:41 PM »
We typically charge a percentage of what we collect, that way it incentivizes our people to place an emphasis on clean claim submission and working denials.  I do like the Tier Model though, because I'd love to find clients where we could just submit claims for them through their medical records and charge them a fee for that.  I'd be interested to know if many clients would take me up on just offering a "Tier 1" type service?  Anyone have any experience with that?
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General Questions / Resigning from Medicare
« Last post by barb2512 on May 26, 2021, 11:00:18 AM »
I have two mental health providers in Florida that are going to completely get off of Medicare. After they end their relationship with Medicare, it requires any patient that comes to see them sign a document that the client understands the visit can never be billed to medicare. And Medicare requires the paperwork be signed by the client every two years if they are still coming to therapy. My providers find this requirement intrusive. They want to know if they get off Medicare why are they still under Medicare's thumb to explain their situation to patients, old and new, and have to keep paperwork on file. Any feedback is appreciated. Thank you. B
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Starting Your Own Medical Billing Business / Re: Selling my business
« Last post by Michele on May 26, 2021, 10:46:26 AM »
Best of luck!
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Starting Your Own Medical Billing Business / Re: Selling my business
« Last post by barb2512 on May 26, 2021, 10:40:39 AM »
Thank you!!
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New! / Re: which billing and coding errors are risk for optometry
« Last post by Michele on May 19, 2021, 05:52:12 PM »
Billing and coding errors are a "risk" for all specialties.
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