Medical Billing and Coding Questions and Answers. Collections,Encounter Forms,Explanation of Benefits EOB’s,CPT codes,Medicare Claims,Medicare Part A, Part B, ICD9, Modifiers,Humana, Blue Cross Blue Shield Claim form assistance, Medical Billing, HCPCS Coding, Medicare Claim Deadlines, Re-Submitting Medical Claim Forms
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Medical Billing
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MembersMedical Billing/Practice ManagementMedical/Legal

Practice Management/Medical Billing

We promise to provide you with information based on the most current billing and coding guidelines which are gauged by our staff to assist you in collecting the maximum dollar amount for each service or procedure provided. Our service enables you and your staff to get your job done with ease and with top results. Along with straightforward answers to your billing questions, we also provide you with links to information and references to back up our answers.

“With an
annual membership to Medproanswers.com, you and your staff will no longer waste precious time researching the internet or muddling through outdated or partial information in an effort to obtain correct solutions to your practice management, medical billing or insurance verification matters.”

“You Ask, We Answer.”
Below is an outline listed by topic and based on some of the most frequently asked Medical Billing Questions (FAQ’S) by Physician’s and Medical Management Professionals.


Billing
Support
Coding Support
Accounts Receivable Follow-up & Analysis Support

Encounter Forms
EOB’s – What Does it Mean?
/Need Certification?

Insurance Verification Support & Forms
Most Effective Verification Methods

ICD-9 Codes CPT Codes & Modifiers Support & Guidelines
CCI/CPT

(Correct Coding Initiative Guidelines & CPT Billing Guidelines)

HCPCS Coding

Medicare Billing and (EOB) Guidelines
Medicare Claim Deadlines
Appealing of Claims


“You Ask, We Answer.”

Medical Management, Risk Management & Fraud
Compliance
Analysis
Practice Management and Assessment Services
Practice Management & Transformation Services
Fee Schedules
HIPPA Compliancy
Insurance Regulatory information
Licensure and provider member status

Medical Management Effectiveness and Efficiency
Medical Staffing Issues & Education
Missed Revenue Opportunities
Physician/Hospital Relationships

Physician Credentialing
Preparation for Start-up Practice

Software Analysis and Support

Here are some of the medical billing and practice management questions we have answered for our clients.

Q- What if I have a new physician enter my office surgery practice? How does that affect my credentialing? Do I have to obtain another NPI?

Q-
I perform surgery in my office, do I need to hire a risk manager?
   
Q- Are there Federal Rule requirements that are required in my narrative reports? If so, what are they?

Q- I’m not receiving my ERA 835 files? What should I do?

Q- How do I obtain an NPI ?

Q- Can ICD-9-CM procedure codes be reported on hospital outpatient claims?

Q- Are Companion Guides required by HIPAA? If so, where can I obtain them?

Q- Can I send electronic PHI in an email or over the Internet? How do I know if my systems are compliant with the HIPAA Security Rule’s requirements?

Q-How should modifier "-25" be reported under the CCI?

Q- Is testing for medical necessity equivalent to testing for medical necessity? What are the criteria for determining Gynecological Cancer?

Q- How can I be sure that my practice remains in compliance with all current
medical and legal matters?

Q-
I recently heard that the ICD-9-CM will be eliminated and will be replaced with the ICD-10-CM? Is this true and how soon will that become in effect?

Q- I am a practicing Physician with a subspecialty in Cardiovascular medicine. What is the best medical billing software to use in my practice to ensure
ICD-9-CM, CPT, and HCPCS coding and Medicare Compliance?

Q-
I am starting a practice, should I register as an LLC or an S Corporation? Should I become a provider with all the insurance companies? What is the most proficient way to accomplish this?

___________________________________________
“You Ask, We Answer.”
“With an annual membership to Medproanswers.com, you and your staff will no longer waste precious time researching the internet or muddling through outdated or partial information in an effort to obtain correct solutions to your practice management, medical billing or insurance verification matters.”

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