Friday, November 10, 2006
Get Your Medical Necessity Documentation Right
Medical necessity is heart of your medical billing claim. Medical documentation is the services that were rendered due to the medical necessity. Carriers won't reimburse the practice for services without both of these valuable pieces of information. If someone representing a local store just showed up on your doorstep and said you owed them money, you wouldn't pay without proof, that's the reason that medical necessity and documentation are important. The carrier won't reimburse the practice without proper documentation.
Your coding must be accurate whether you use 3-digit or 5-digit codes. The more exacting procedure codes are found in the 5-digit range. Almost all carriers require the top listed procedure on your medical billing claim to be noted with a 5-digit code. 3-digit codes were adequate for many procedures but now they are considered too vague for reimbursement on many medical procedures.
Throughout the year more CPT codes are added to the growing list of procedures used in medical billing claims. Many medical practices are stretched to their limits and are unable to keep up with the fast paced changes and older and outdated coding is used. This results in the practice not realizing full reimbursement of their medical billing claims and that costs the practice in the form of real revenue lost.
Outsourcing to a medical billing partner can dramatically lessen unpaid and partially reimbursed medical billing claims. Look into outsourcing your medical billing today!
Your coding must be accurate whether you use 3-digit or 5-digit codes. The more exacting procedure codes are found in the 5-digit range. Almost all carriers require the top listed procedure on your medical billing claim to be noted with a 5-digit code. 3-digit codes were adequate for many procedures but now they are considered too vague for reimbursement on many medical procedures.
Throughout the year more CPT codes are added to the growing list of procedures used in medical billing claims. Many medical practices are stretched to their limits and are unable to keep up with the fast paced changes and older and outdated coding is used. This results in the practice not realizing full reimbursement of their medical billing claims and that costs the practice in the form of real revenue lost.
Outsourcing to a medical billing partner can dramatically lessen unpaid and partially reimbursed medical billing claims. Look into outsourcing your medical billing today!
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