BC Advantage Magazine
 
 
FREE ERISA Appeals E-BOOK
By Steven M. Verno | CMMC, CMMB, NREMT-P

If you're getting a denial or having trouble appealing denials after treating your patients maybe you need to look a little closer at your patients insurance coverage and see if it is an ERISA plan.

For a FREE copy of the ERISA Appeals e-book by Steve Verno please
Click here to DOWNLOAD YOUR FREE COPY

 
30 June 2009 CMS 'complex reviews' on the way by August/September
30 June 2009 The Medical Management Institute (MMI) and the Association of Registered Health Care Professionals (ARHCP) are no longer affiliated with Contexo|Media effective June 29, 2009
30 June 2009 PRN Funding Prepares to Meet MTSOs
29 June 2009 Feds charge 53 in $50M medical billing scheme
29 June 2009 IBMC Medical Billing and Coding Students Pass CMBS Exam
29 June 2009 Focus on results, not treatments
 
 
 
 
 
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2008 Radiology Coding Update Webcast - Click here for more details
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  For the Week of June 29, 2009
 

 

  Respiratory: In last week's answer, you provided guidelines for complying with Medicare's medical necessity requirements. But what can be done when the physician orders a sleep study but has not performed the required diagnostic tests? - Read more...
 
 
  Radiology: At our Children's Hospital, the goal, as always, is to minimize radiation exposure to our patients. When a physician orders a CT of the chest and both shoulders, our tech will scan the patient's chest but will include the shoulders and then do a reconstru - Read more...
 
 
  Laboratory: If a physician orders a CBC (85025) and the auto differential is flagged on the hematology analyzer, the auto differential is not reported and a manual differential is performed and reported. Can the lab bill for the manual differential (85007) and hemogr - Read more...
 
 
  Pharmacy: How does CMS determine what drugs are packaged? - Read more...
 
 
  Cardiology: My question relates to charging for EP when a physician puts in an ICD w/ single lead on the right side and then has to remove one that was put in on the left side. How can I charge for these two procedures without the bill being kicked back out? Should I - Read more...
 
 
  General: For discontinued procedures that qualify for the coding of either modifier 73 or 74, can you please clarify whether or not the hospital can separately bill for opened but unused supplies that were intended to be used during the course of a procedure that - Read more...
 
 
   
 
   
  'This area is updated weekly. If you would like MedLearn to send you this resource in an email each week, please click here - or simply check back here every week to review the updates.
   
 
   
 

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