Just because the BOSS says do it...
doesn't mean they are right and sooner or later they will be caught:dallas.fbi.gov/dojpressre...031408.htm
View ArticlePolicy & Procedures
I remember that Steve had some sample documents put out e.g. Billing Compliance - is there a sample of Policy & Procedures that can be a starting point to write our own for a billing service that...
View ArticleElectronic Claim files
Is there a time period that we have to keep data files that has been submitted electronically? We are having space issues with our computer and we have files from2004 just taking space.
View ArticleMedical Identity theft
http://www.theboombox.com/2008/07/23/dmx-charged-with-identity-theft/ I see this on the increase and it is now happening to me. I am getting medical bills, where someone named M. Suau (that is the...
View ArticleMedicare Cost Report
Does anyone know about this, or can explain it? I'm not sure I fully understand it. When I used to work for the hospital they did the Medicare Cost Report, but I don't know about private practice...
View Articleretaining records
I am so confused about the retaining records issue. As a billing center, I receive copies of patient registration forms with insurance info, copies of daysheets, and copies of all EOB's. All of this...
View Articleadvice on email encryption?
I'd like to send/receive PHI via email with the provider I bill for - it would make communication a lot more efficient. (Wish they had some kind of network I was connected to in order to communicate...
View ArticleClik here to view.
Financial Records Handover
Hallo I recently took over a medical office with 4 doctors and was prepared that there will be problems with the previous billing company but never expected this . We have requested that all records...
View ArticleEndowment money
We have received money from a Foundation to help our self-paying patient cover their services. example if the services provided are $200.00 and the patient can only pay $75.00 the foundation will...
View ArticleFlorida Medicaid
Hi, We are a billing agency, in Ohio, with a prospective client in Florida. What are the rules for billing Florida Medicaid as a billing agency? Do we have to get a Medicaid provider number? Are there...
View Articleclient wants billing svc database
One of my clients decided to take the billing back in house. The client insisted I told them I'd give them the data base (not true) not in contract. Now stating it's private patient health info and I...
View ArticleChanging Billing Services
Is there a checklist or any suggestions or pitfalls to avoid for a doctor to change from one billing service to another? We are trying to prevent any loss of revenue during the transition. TIA Yo
View Articlemedicaid in NJ
We are pcp in nj.Right now we dont accept medicaid contract but if primary is medicare and secondary is medicaid.Then we w/o the medicaid part of it.My question 1.Is it ok to do this?.and if we...
View Articlescrubber
We are looking at some scubbers for claims edits and creating several claims for on encounter (visit). We are in Califorina and State Medicaid (Fpact) program can only see the first 2 Dx; when we...
View ArticleProvider Payment
Hi, I received a payment from Medicare last month only to receive a duplicate payment this month from Medicare. Per my understanding I have to post the entire Medicare check in order for me to issue...
View ArticlePHP and IOP substance abuse psychiatric billing
Does anyone know how to bill this service? I assume it needs to be done on a UB-04 form with revenue codes and all. I am just unsure about site of service and which codes to actually use. Can...
View ArticleStick with your training
Anyone who has never done any medical billing will find it very overwhelming once you start. The hardest part, after your training, will be finding the doctor that is willing to let you work for them....
View ArticleMedical Billing Physics
Disclaimer, I am not a lawyer. I am a biller and coder. I do not provide any legal advice at any time. This post is for training purposes only. Names used are fictitious. Any resemblance to real...
View ArticleIf you have to ask...
Over the years, someone always asks:Is it legal or can we???In order to do our job, we have policies, rules, regulations and laws to follow. Our jobs isnt only to get our doctors paid for the work...
View ArticleBilling with no dictation
Asking for advice on how to handle this situation-We have many superbills that haven't been billed to the insurance due to no dication from the providers. The providers are aware of this but just...
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