In Billing
Oct 27th, 2010
A medical claim can be denied for various reasons. The most common reasons are: Lack of medical necessity Lack of pre-authorization Erroneous patient demographic information Erroneous provider data Incorrect subscriber identification number Invalid ICD-9-CM, CPT® and/or HCPCS Level II codes Invalid place of service codes How do you work smarter, not harder when it comes ...
In CMS
Dec 15th, 2008
Make sure your billing staff is using the latest remittance advice remark codes (RARCs) and claim adjustment reason codes (CARCs). The Centers for Medicare & Medicaid Services (CMS) released a periodic update in November that includes several code changes. Time to Update Your RARC and CARC Lists was last modified: July 5th, 2011 by admin ...
Sep 1st, 2007
By David Young, DO Medical coding isn’t always a precise science, particularly in diagnosis coding, where the ICD-9-CM manual often lags behind medical science. Physicians may know which condition the patient has, but that doesn’t mean a code exists for it. These are the occasions when I often sit down with one of my practice’s ...
Jul 1st, 2007
Matching ASC codes with surgery codes is essential for proper ASC coding. By Chris Felthauser, CPC, CPC-H, ACSOH, ACS-OR Multispecialty freestanding ambulatory surgical centers (ASCs) are one of the fastest growing markets in health care today. Many physician groups are taking on the challenge of opening up their own surgery centers. This can lead a ...