Practice Management Alert
Medicare Guidelines
Question: Where can I find specific rules for billing Medicare? I went through our Medicare billing manual but is does not address my question. Ohio Subscriber Answer: The Medicare Carriers Manual is at http://www.hcfa.gov/pubforms/ 14_car/b00.htm. Or you can contact your local Medicare vendor and ask a representative for the local medical review policy (LMRP) for the procedure in question. Answers to Reader Questions provided Steven M. Verno, NREMTP, CMBSI, director of reimbursement for Emergency Medicine Specialists, Hollywood, Fla.; Catherine A. Brink, CMM, CPC, principal of Healthcare Resource Management Inc. in Spring Lake, N.J.; and Stephanie L. Jones, NR-CMA, NR-CAHA, CPC, vice president of operations, Aztec Medical Systems, Miami. $ $ $
Practice Management Alert
- Find a Billing Manager Who Fits the Bill
In a time of declining reimbursements and increasingly restrictive Medicare regulations, practices need first-rate billing [...] - Are EOBs a Mystery? Get a Clue on How to Review
Are you tossing aside the explanation of benefits (EOB) that your insurance company includes with [...] - You Be the Expert:
Charging for Lab Services
Test your knowledge. Determine how you would handle this situation before looking at the box below for [...] - Four Tips for Spotting a Silent PPO
When you examine your EOBs, you may discover that the payer has illegally reduced your [...] - Swipe Your Way to Easy Fee Collection
If your practice does not accept credit and debit cards, you may be missing out [...] - Reader Question:
Incomplete Documentation
Question: I have been attending different audit meetings and am repeatedly told that if the [...] - Reader Question:
Charging Late Fees
Question: We do not add any late fees to patients' accounts if they become delinquent. [...] - Reader Question:
Certified Letters
Question: My physician sends a certified letter to patients right before turning their account over [...] - Reader Question:
Discounting PPO Versus Non-PPO Benefits
Question: If we admit a patient to the hospital who has PPO (physician provider organization) [...] - Reader Question:
Medicare Guidelines
Question: Where can I find specific rules for billing Medicare? I went through our Medicare [...]
