Medicare Covering SBRT for Bone Mets

Most Medicare Fiscal Intermediaries have updated their LCD's to now cover Stereotactic Body Radiosurgery for bone mets in the head and spine.  Check your carriers policies for detailed information.

IMRT For Bone Mets

First Coast Service Options (FCSO) the fiscal intermediary for Florida Medicare now covers IMRT (77301 and 77418) for the treatment of bone metastases.  You can see the LCD at: http://medicare.fcso.com/Fee_lookup/LCDDisplay.asp?id=L29200.

Claim Scrubber Optimizes Radiation Therapy Claims Reimbursement

Radiation oncology billing is especially difficult because of the planning and staging processes that occur prior to treatment. On a bad day a coder can create future problems that are difficult to remedy.  Fortunately, Iridium Suite offers a safety net to help you avoid the pitfalls of improper coding. To read more visit our Biller's Blog.

EDI Functionality In Medical Electronic Billing

Electronic data interchange (EDI) is the structured transmission of data between organizations by electronic means. It is used to transfer electronic documents or business data from one computer system to another computer system, i.e. from a medical practice to an insurance payer. To read more visit our Biller's Blog.

EDI Functionality In Medical Electronic Billing

Electronic data interchange (EDI) is the structured transmission of data between organizations by electronic means. It is used to transfer electronic documents or business data from one computer system to another computer system, i.e. from a medical practice to an insurance payer.                                                  A Physician billing system should utilize the following three common EDI functions: submission of Electronic Claims, utilization …

Place of Service “22” For Outpatient Hospital Services

Physicians providing services in the outpatient department of a hospital need to urgently review their place of service (POS) coding practices. As of October 1, 2012, CMS has implemented it's new place of service coding instructions per CR7631.                                                                           Billing for outpatient hospital procedures have come under the scrutiny of the Office of the Inspector General (OIG). The OIG has …

Code the Most Specific Diagnosis on Your Medical Reimbursement Claim

  Inaccurate or non-specific diagnosis coding can adversely affect your reimbursement of medical claims. Many categories of the ICD-9 contain codes that represent the non-specified site of a certain neoplasm. The are typically indicated with a “9” as the last digit of the code. Even though all of these codes are viable, accepted diagnoses, many payers, especially Medicare, highly encourage …

Five Ways to Capture More Claim Money

Often the handling of accounts receivable is considered distasteful, something that can be ignored or should be handled by somebody else.  Too often the calls don’t get made to insurance companies, the appeals don’t go out, or the resolution of denials is put off.  Even though it may be difficult to find time to perform these tasks, they are an …

Electronic Health Record (EHR) and Medical Billing Systems

                                                                                                              An EHR must not only record your patient data electronically, but should be certified for meaningful use by CMS. Once you select a certified system, this gives you the potential to earn financial incentives from CMS by providing the required proof of meaningful use.                                                                                    Integrating multiple systems can enhance your work environment and improve efficiency. Your billing and …