Medical Billing Errors, Keeping Good Records Can Help You Catch Mistakes
My insurer's Explanation of Benefits (EOB) showed a claim for a flu shot. That was accurate. But another EOB claimed that I got exactly the same flu shot (again) two…
My insurer's Explanation of Benefits (EOB) showed a claim for a flu shot. That was accurate. But another EOB claimed that I got exactly the same flu shot (again) two…
Before you hire a biller, you need to make sure he or she is qualified for the position. The following test coupled with a math test will assess whether the candidate will be successful in the role — and an asset to your company.
Name: _____________________________________________ Date: _______________
Multiple Choice
1. A “crossover” claim is:
a. When Medicare forwards a claim electronically to a secondary insurance carrier
b. When duplicate claims are sent and the same claim is returned for more information. (essentially the two claims are “crossing” in the mail)
c. When a claim is sent that has more than one box “crossed out”
d. Sending the claim to the secondary insurance first for administrative purposes, “crossing” the normal procedural policies.
2. An EOB is:
a. End of Balance
b....
No severe problems? You may have trouble with reimbursement. Question: The ob-gyn performed and OB ultrasound (US) on a patient. Can I bill 76376 in addition to the ultrasound if the ob-gyn used 3D? Montana Subscriber Answer: Yes. You can report a 3D procedure with 76805 (Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, [...] Related articles:
Check your EOB to make sure payers don’t apply a multiple-procedure reduction to +69990. Question: When my ENT uses a microscope during a procedure, what guidelines can I use for choosing between 92504 and +69990? Is there a rule governing how many times you can report the add-on code 69990? Answer… You can use 92504 (Binocular microscopy [separate [...] Related articles: