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Medicaid Managed Care
From: Heather
Date: 2/23/99
Time: 10:16:17 PM
Remote Name: 206.74.202.137
Comments
I was wondering if anyone had any information at all about Medicaid Managed Care programs and exactly how reimbursemet takes place for the provider under these circumstances. Could anyone suggest a seminar or a good refernce book?? **Need advice soon! thanks
Aging Accounts
From:
Date: 3/2/99
Time: 4:28:32 PM
Remote Name: 199.174.207.57
Comments
Spinal Surgery
From: Stephanie
Date: 3/11/99
Time: 11:43:11 PM
Remote Name: 208.252.36.4
Comments
I'm having trouble defining the meaning on a spinal cpt code. CPT code 63040-42 are defined as Laminectomy ect. revision for cervical, lumbar. I get convicting answers on if this is the entire lumbar area or can I bill each level as 63042, 63042-51 or would I have to bill and additional level (if thats posible) as 63042, 63042-59
Diagnostic Codes
From: International Initiatives- Conneticut
Date: 3/19/99
Time: 3:32:54 PM
Remote Name: 152.163.207.68
Comments
Would someone please tell us what the diagnostic codes 780.39, 250.00, and 250.02 stand for? The first two are accompanied by the wording LOW.MOD OV EST PT and the last is accompanied by the wording MOD/HIGH OV EST PT. Please help! You may reply to us at intlinitvs@aol.com
Thanks.
Hospital billing for glucometer testing
From: Warren Coffin, CLS
Date: 3/26/99
Time: 8:07:36 PM
Remote Name: 206.105.188.4
Comments
My institution, a small rural hospital in New Jersey, is in the process of having nursing (finally) take over POCT for glucometer testing (except for out patients who present to the lab). During discussions held in the lab about the pros and cons of nursing assuming this aspect of patient care, the question was broached that the income that glucometer testing generated for the lab would be lost. Our manager informed us that it was a moot point SINCE GLUCOMETER TESTING IS NOT REIMBURSABLE.
Can someone point me to documentation which either refutes or supports my manager's point of view on this matter?
Re: Medicaid Managed Care
From: cheryl anderson
Date: 4/20/99
Time: 12:10:30 AM
Remote Name: 205.188.199.44
Comments
hi
i own a company which specializes in billing for emergency physicians. i use to work for a local company in illinois which was sold to a national company (NES), you may have heard of them. they are not very well liked in the industry. needless to say, i no longer work for them and started my own company at the end of 1997. i have experience in over 15 states, mostle midwest to the east coast, but have a wealth of knowledge. there are not really any books geared towards ED reimbursement, particularly medicaid, but there are a few books on general ED reimbursemnt. my company's focus is on physician education, training and documentation, which impact billing. i would be happy to discuss doing an audit for you, if you are interested. i use to manage over 800,000 billed ER visits a year and a multitude of issues. please feel free to call upon me at 630-734-0200, ext. 227. i am located in illinois.....hope to hear from you.
Chest Pain Center coding for emergency dept. physicians
From: swea@flash.net
Date: 5/24/99
Time: 9:26:43 PM
Remote Name: 38.12.225.41
Comments
Facility this emergency physician group contracts with recently opened chest pain center. Our physicians refer patients to CPC, then another in the group may follow or discharge patient later. Problem is, can't find reliable information on how we bill or even IF we can bill since technically only one MD from a group can bill a patient for each encounter. Any information would be appreciated! Valerie Merritt, vmarlene@flash.net, or above email address.
medical billing
From: patti brockway
Date: 6/6/99
Time: 4:41:11 PM
Remote Name: 204.221.87.149
Comments
I have recently started a medical billing service in minnesota. I am having a problem getting any accounts from physican. I thought that this would be a great business to start. Could some one please let me know what I can do to get my business going. I have tried sending out letter in direct mail and that never helped either. I am frustrated and I don't know what to do next
Thank you