I started pursuing medical billing and coding in 2013 and finally got a Claims job last year, only to be laid off this year. I have experience in claims, Accounts Receivable, and sending medical records by mail and electroncially, and as a health and life benefit administrator (dealing mainly with eligibility).
I’m certified as a CPC ( did the online program to get the A off) and have the ICD-10-CM certificate of proficiency. I have to other smaller certifications related to medical billing and coding.
Am I qualified to do medical billing and coding in a specialty office, or medical insurance verification?
I don’t want to come across as whiny or sarcastic. I’m serious and somewhat frustrated. It took me so long to get to claims and I feel like I have to sort of start over. What are managers looking for? I absolutely love dealing with billing and medical insurance. I would love to code. This is my dream job.
Am I getting too easily frustrated? I feel like the doors keep shutting and I have applied eveywhere possible near me.
Attorney General Pam Bondi and the Pembroke Pines Police Department arrested a dentist and their office manager for defrauding the Medicaid program out of more than $ 50,000.
The post Florida AG Arrests Dentist and Office Manager for More Than $ 50,000 in Medicaid Fraud appeared first on The Coding Network.
I need assistance. I am confused as to how to differentiate which POS is correct to use when billing E/M codes – Office or On/Off Campus – Outpatient Hospital
The physicians are part of a Medical School faculty which is associated with a Hospital. They see patients (E/Ms and office procedures) in an outpatient clinic space owned by the Hospital. It is in the same building as the hospital.
CMS defines the On Campus – Outpatient Hospital location as: “A portion of a hospital’s main campus which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. (Description change effective January 1, 2016)”
Campus is defined as: "The physical area immediately adjacent to the provider’s main buildings, other areas and structures that are not strictly contiguous to the main buildings but are located within 250 yards of the main buildings, and any other areas determined on an individual case basis, by the CMS regional office, to be part of the provider’s campus."
Office is defined as: "Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis."
Is the fact that the space is owned by the hospital and in the same building indicative that it is therefore "part of the hospital campus", and should be entered with POS "On Campus – Outpatient Hospital"?
Or does this clinic space qualify as a Location, other than a hospital and therefore gets entered with POS "Office" ?
How do I know when "Office" is correct to use or "Outpatient Hospital" is correct to use?
Any insight is greatly appreciated.
I am billing for a family practice doctor who wants to start billing for A1c’s done in the office. I am trying to figure out if I can bill 36416 and 83037 together. He is going to use the finger, heel or ear stick method. Any guidance on correct billing for this would be greatly appreciated.
Life in the medical facility was much harder before PACS workstations came along. Everything had to be printed out on paper, film imaging used costly and toxic chemicals, and then there was the hassle of storing thousands of medical records in a hard copy format. Those days are thankfully mostly gone with the advent of PACS workstations, and software systems such as the Candelis PACS system. Medical office workflow has increased, time spent on routine tasks has decreased, and better patient care at a better price for the facility is the result.
At PACS workstations, you can store, archive, distribute and view your medical digital images and digital reports and records. Candelis PACS, and specifically the Candelis Imagegrid, brings the software and hardware together to make this possible in your medical office environment.
The Candelis Imagegrid allows you to communicate with referring doctors more easily by utilizing the speed and efficiency of the World Wide Web. You can quickly sort through thousands of digital studies to select the ones you want, and the system allows for rule-based routing, so that reading physicians on and offsite will automatically be sent the appropriate images. Because many of the features on the Candelis PACS system can be automated, this saves every person using the PACS workstations a great deal of time.
A Candelis PACS system also solves your digital image storing issues. It can be used by both small and large facilities, because the storage capacity starts at one terabyte and goes up from there. This also allows for ease of expansion should you need greater storage capacity in the future.
Storage needs to also meet HIPPA requirements. This means that you will need to not only use a system that can provide easy backup on a daily basis from each workstation, but that all information from the multiple workstations can be stored on a server, both onsite as well as offsite for disaster recovery. All of this is quickly and easily possible with the Candelis system.
PACS RIS systems can also enable you to add text to your digital imaging. The RIS part of the system allows you to schedule patients, order tests, and write reports. These are combined with the PACS part of the PACS ris system, so that a complete patient digital file is the end result. Candelis PACS works well in tandem with its ris system to bring full functionality to your PACS workstations.
Wayne Hemrick writes about the advent of future technology. In this article he writes about the pacs ris system.
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P.S. im pretty sure i know the answer to this question i just need some reassurance and back up lol.