Tuesday, May 12, 2009

More than one location per provider - medical billing news!

Several of your providers MAY work in different locations throughout their typical work week. Some have multiple office locations, or they work rounds at the hospital. In this case it is required that these additional locations be added in the Facilities section of your software or database. Without this information, claims will go out with the incorrect Place of Service causing billing complications and/or denials.

Saturday, May 9, 2009

Medicare Re-enrollment - medical billing news!

Re-Enrollment has changed quite drastically from 27 months to 30 days, so something to be aware of. Also, if a change of address or location is not made within 30 days, there’s the risk of being expelled for 2 years. This comes at a time when many physicians are actually dropping many Medicare and Medicaid patients. The changes must be registered with the Medicare contractor.

One large concern is the paper flow as a physician could go to work before the initial process is completed for enrollment. The AMA is pushing to get the deadline extended for such changes to 90 days. Practices are not holding off on purpose, it’s just that there’s some real big mountains of administrative work that pile up today.

If the contractor denies enrollment instead of rejecting there’s a 30 day window for the physician and contractor to rectify the initial errors, so this could also offer some relief. Guidelines state that internet enrollments should be within 45 days, while 60 days is the expected time frame for those enrolling with paper.

Monday, May 4, 2009

Don't just get software; GET A BUSINESS PARTNER!

It is all too easy to select a software provider, as a medical biller.
At least it sounds easy...
Well, it's not.
What should you look for?
1. Customer service and availability
2. Ease of use
3. Technical support and their availability
4. Clearing house information and workings
5. Company size
6. Country of origin
7. What they do when you are in a bind for help
8. Staff turnover
9. News and press
10. References