Medical Billing Forum

Billing => Billing => : jyoung65 June 01, 2011, 01:29:46 PM

: Internal Medicine Billing
: jyoung65 June 01, 2011, 01:29:46 PM

Hello Forum,

I have a meeting scheduled with a clinic, their specialty is Internal Medicine. I want to make sure that I am prepared for this meeting and do my research.

What I need to know is: What are the common CPT and DX codes used? Are there any common bundling & unbundling codes. What is the average claim amount? Average patients seen in a month? What are the challenges with Internal medicine billing? And anything else that I would need to know. 

I would really appreciate any suggestions!

Thanks:)

: Re: Internal Medicine Billing
: Michele June 03, 2011, 12:26:48 PM

For internal medicine there are way too many cpt & dx codes to list.  They are the usual E&M codes with additional codes for testing depending on what services are provided.  I'm not sure what you mean by "bundling & unbundling codes".  There aren't codes to bundle or unbundle, but codes are sometimes "bundled" by the insurance carrier depending on how the claim is coded and the plan's guidelines.  One claim may be bundled with one insurance carrier but not with another, based on the plan.  It is not ok to specifically code a claim to avoid bundling.  The claim should be coded as the services were performed.

All of the other questions you are asking all have too many variables.  What part of the country, city or rural, how many providers seeing patients, how many hours/days are they open? 

Sorry I can't be of more help!

: Re: Internal Medicine Billing
: sl1181 June 04, 2011, 08:00:54 PM

I code for a Family Practice group  which is very similar to Internal medicine. When I first started billing I went on  line and googled Family Practice Superbills. I was impressed with how many I found and some had general DX codes on the botom and I created myself a cheat sheet. My doctors perform standard CPT codes and they were easy to get the ha
ng of. I find the biggest challenge to be the diagnosis codes. She uses about 90% of them often (my cheat Sheet) and about 10% of them I have to look up. Good Luck

: Re: Internal Medicine Billing
: jyoung65 June 06, 2011, 10:49:57 PM

Thanks, I will Google Internal Medicine superbills! That is a good idea!

: Re: Internal Medicine Billing
: QueenAlicia June 07, 2011, 01:54:28 AM

How funny because I am targeting the  mental health field and I started making myself a cheat sheet before reading this.

: Re: Internal Medicine Billing
: PMRNC June 11, 2011, 10:34:43 AM

I'm the queen of cheat sheets.. LOL and sticky notes (now computerized <g>)