Oct 16, suture removal
A patient presents to the ER with a laceration, and the ER Physician sutures him, then tells the patient to see his doctor in 5 days for the removal.
View ArticleOct 16, How do I bill Medicare secondary using eClinicalworks?
I cant seem to figure out how to bill Medicare secondary thru eClinicalworks. I have over 100 claims that can't get past our clearing house. I have tried
View ArticleOct 17, Medical Insurance Specialist/Collections
I have been in the Medical AR business for 14 years. I have worked for two major Fortune 500 corporate billing offices, managed one small Chiropractic
View ArticleOct 17, Claims and deductibles
So where does the responsibility of the biller end? When a claim processes with a deductible applied and the patient believes it is incorrect, is it the
View ArticleOct 17, Looking for a CPT expert for a novel Genetic test in CLIA Certified lab
I am looking for a expert in development of CPT codes for a novel Genetic test from our CLIA Certified lab in Spain. Should you have somebody in your
View ArticleOct 18, Can you bill insurance for multiple DOS's on one claim?
I have been helping the office manager with billing and have found several things I am questioning: 1. Can you bill the insurance for more than 1 DOS
View ArticleOct 18, What is the billing cycle time?
Dear Gina, I am planning to start my own practice in billing and coding. This website helped me a lot in understanding the process. My question is if
View ArticleApr 2, How do you remote access a client's system?
First, I want to say thank you for all of the information you have already provided, it has been really helpful. Second, I would like to understand the
View ArticleMay 6, Highest Rated Medical Billing Software by User Reviews
Top 5 highest rated medical billing software based on user reviews. Medical practice management software programs based on user reviews and affordability - how cheap they are.
View ArticleMay 6, Highest Rated Electronic Medical Records Software
Top 5 highest rated electronic medical records software. Ratings based on user reviews and affordability - how cheap they are. Also know as EMR or EHR software for healthcare providers.
View ArticleMay 7, What's The Difference Between CMS-1500 and UB-04 or CMS-1450
This site sure has helped me out alot to answering my questions. I am just getting into medical billing and coding, this is a life saver. Just wanted to
View ArticleMay 8, How can I find out if the medical billing company is posting all...
My boss owns the medical billing company that bills for our practice. How can I find out if the posted collections matches their actual collections.
View ArticleMay 9, Mental Health billing for Licensed Professional Counselors and Medicare
I have been billing for mental health for the last 20 years and one of the MOST frustrating parts of my job has been billing for Licensed Professional
View ArticleMay 9, Out of Network Billing to Maximize Reimbursement
I have started billing for a provider's out of network business (he is a surgeon). What is the best method to collect maximum reimbursement? The reimbursement
View ArticleMay 10, When Patient Has Three Insurance Plans - Primary, Secondary, and a...
My client has Medicare primary, a Medicare supplement and then a third insurer. How do I file for that third reimbursement? Response: I know most of
View ArticleMay 10, Taxable and Non-Taxable
I'm not a coder nor payment poster. My position is more in with data entry and bookkeeping. There is some confusion about insurance payments and what
View ArticleMay 11, Superbills for referred services from outside facilities
Here is the scenario: I referred a patient for imaging at an outside facility. The fee was paid by the patient out of pocket at the time of service, and
View ArticleMay 12, What would my job title be?
I have been working for a doctor now for 9-1/2 years and I really need a job title. She calls me Office Manager but it just sounds so general. I am the
View ArticleMay 12, How to Obtain a Provider Fee Schedule
I am new at this and I have a new client; however, she does not know how much to charge for her services. She stated that I should call the insurance
View ArticleMay 12, Marketing
What are some good ways to obtain billing clients? I've been a freelance medical biller for 3 years. I do cold telephone calls and go door to door and
View ArticleMay 12, How to Charge Provider for Capitated Accounts?
I am in the process of opening my own billing practice. My experience in the past has not allowed me to deal with capitated accounts. My first client
View ArticleMay 12, Challenges of Getting New Clients for Established Medical Billing...
We have a small medical billing company. We pride ourselves on personalized service and actively, often for free, consulting with our clients to make their
View ArticleMay 12, Billing Service Fees and Scope - Who Receives Payments
I am wondering what the standard in the business is....When an insurance processing company says they charge 7% of claims made income, does that include
View ArticleMay 12, Behavioral Health Billing
I need training for mental health billing only. Do you offer a course like that? Response: We don't offer training for mental health. The only resource
View ArticleMay 18, Outsourcing Medical Billing Services to India
Has anyone had experience with their providers medical billing services to companies based in India - or any other country? One of our clients is considering
View ArticleMay 21, 2017 Physicians Practice Staff Salary Survey Results - Medical...
Physician's Practice has released their 2017 staff salary survey results. We take a look at the Medical Billing and Coding salaries.
View ArticleJul 12, What is an exact role name for medical billing specialist??
In gulf countries they can't understand what medical billing is, where lots of billing jobs available but I need what exact role name of it to apply job
View ArticleJul 12, Qualifications
I have a background that is not a good background. My question: Are background checks done? If so, what are they looking for? Is it up to the hiring
View ArticleJul 12, Dental Billing
I have been a dental hygienist for 6 years and I am ready to start my own business. I have decided I do not want to drift far from the world of dentistry
View ArticleOct 23, What is the CPT code for 'Male Hormone Panel'
What is the CPT code for 'Male Hormone Panel' ...testosterone/estrogen/PSA/IGF- 1 /DHEA -Sulfate/ Progesterone Response: We'll post in hopes our Visitors
View ArticleOct 23, Should I get my medical billing certificate from AAPC or somewhere...
Hi! I am contemplating starting my own medical billing business and I was wondering if I should get my medical billing certificate from AAPC or some other
View ArticleOct 23, Is it possible to work in Medical Billing or Coding at night instead...
How common is it that a company would allow you to work from home as well as working at night so you can be with your children during the day? I'm an
View ArticleDec 28, PR-31 Claim Adjustment Code.
We are received denial reason PR-31 for the claim, What action we will take for the particular CPT. Response: I'm assuming your insurance payer is using
View ArticleJan 2, Certification for Medical Billing or Coding Services Business
Hi - Can someone please let me know if certification necessary for business. If so can you please recommend? Bala, Thanks for your question. I'm sure
View ArticleJan 2, How Do I find what Percentage is being charged in my area for Medical...
How do I find out what % I should charge for my area for medical billing, credentialing, and aging claims? Response: In our area I had a pretty good idea
View ArticleJan 8, Medicare Quality Payment Program - Role of Medical Biller
My question is about the role of the medical biller in this program, and anything that can be shared regarding this program. Response: For our visitors
View ArticleJan 9, Medical Billing and Coding Experience for Coding Certification
Hi Gina! Love your website and personal experience you relate throughout it. I'm interested in getting certified as a coder, compared to 90% of my experience
View ArticleJan 9, Best Practices for obtaining patient information to begin billing for...
We've started a medical billing service and we want to understand best practices or the different ways in which we would get the information from our billing
View ArticleJan 9, Telemonitoring
What claim form would a Home Health Agency use to file a claim for telemonitoring? Response: We haven't had any experience billing for home health services
View ArticleJan 9, Sending Info for Secondary Claim Submission from Primary EOB
Just starting out and need specific information on how to submit secondary claims. I understand you need EOB from primary. Do you send entire page with
View ArticleFeb 19, Free Medical Billing Training - Good Resources for Billing & Coding
Free Medical Billing Training – what’s the catch? There are some good free resources available. Check out our FREE course.
View ArticleFeb 25, Help Getting Started in Medical Billing
I have been in the medical field for over 30 years and now I want to move forward in starting my own in-home medical billing service. I am taking a course
View ArticleFeb 27, What is Best Medical Billing Software for a Large Practice
What do you think is the best medical billing software for a large multi-provider medical practice? We have an 6 doctor practice and are trying to find
View ArticleMar 2, Question on UB-04 Claim Form Fields FL01 and FL02 Differences
Hi - My doubt is regarding the UB-04 institutional claim form Field Locator FL02 PAY TO field. How is it different from Field Locator FL01 and do we have
View ArticleMar 7, How to Get Certified in Medical Billing and Coding as Quick and Cheap...
Hi. Thinking about a career in medical billing and coding and would like to become certified in medical coding if I go that route. What's the cheapest
View ArticleMar 12, How to Bill for LPC Services When Client has Medicare Primary and...
Hi. I am an LPC (Licensed Professional Counselor) in Arkansas. I am not eligible to bill Medicare. My client has Medicare part B primary and BCBS secondary.
View ArticleMar 19, For Urgent Care What codes Do I Bill for When Sending out a CLIA...
We are working with a toxicology lab and using CLIA cups. I am getting such conflicting information as to what my practice can bill for. I want to make
View ArticleMar 31, What to Do When a Provider Has a New Tax ID
The provider that I bill for just advised that he has a new tax ID. What is the process for this change? Would every insurance company need to be contacted?
View ArticleMar 31, Pricing for Claims Editing, Resolution, and Insurance Verification
I have a potential client that is requested claim scrubbing resolutions (only corrections on claims submission errors) and insurance verification on the
View ArticleMar 31, Getting clients
Besides networking .. visiting their offices, how else can you attract their business? When you close the collections month, how do you bill the physicians?
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