February 27th, 2013 by Joann Doan
It’s that time again! We need you to judge our monthly Medical Billing Tip of the Month contest. Listed below are the three top tips submitted this month (out of the many great ideas we received!). Just read them over and then post on our Facebook page which number is your choice for Medical Billing Tip of the Month. You can also post your choice in the Comments box here on our blog. Either way, be sure to vote before the deadline on Friday, March 8th! The winner will receive a $250 American Express Gift Card and the acclaim of their peers. Here are the candidates:
Tip #1: Physical Therapy Tip
Providing Physical Therapy requires the average patient to be seen 3-4 times a week for 4-6 weeks which generates many claims for the same patient. This can make it difficult to Review and Approve each Encounter individually. I have found that in most cases it’s only necessary to Review the patient’s first date of service (which includes the initial evaluation procedure code 97001). Once the first date of service has been Approved (correct insurance & member ID, correct provider, etc), all the patient’s subsequent Encounters can be Approved and released for billing more quickly using the steps below:
- Encounters Detail
- Customize for one date of service
- Look through the Drafts for the procedure code that indicates “first date of service”. In our case it is the 97001 for Initial Evaluation.
- Set to Review and/or Approve all the first visit/97001 Encounters.
- The remaining Drafts for this date of service should now be for non-eval visits.
- Go to Encounters/Encounters Home
- Click on Encounters/Find Encounter
- Click Drafts
- Under the Search field choose “Date”
- Type in the date of service in the “Look For” field
- Highlight all Drafts by holding down the shift key
- Right click and Approve and they are Ready to Send!!
Tip #2: Keep up with the changes
If I have learned anything in my billing/coding career, it has been that education really is key. Not necessarily the initial education process, but the follow through for sure. Coding and billing practices are constantly changing and keeping up with these changes are imperative to compliancy and top dollar reimbursement.
- Make sure your clinic leaders and supervisors know that you need to attend annual conferences to learn about new coding practices.
- Stress the importance of being compliant and learning new codes and fees that will make your practice more money in the long run.
This is a large part of successful billing!
Tip #3: Successful Reimbursement
The biggest key to successful reimbursement is proper coding!
Double check all codes added by the physicians and make sure they are using the correct diagnosis codes and procedure codes. Also make sure you are filing claims in a timely manner. I make sure that all my claims from the prior date of service are billed no later than next day which helps with faster reimbursement/processing. I also suggest that every biller/coder should take ICD-9 and CPT update classes yearly. This helps keep your coding on point and therefore you are sure to get maximum reimbursement for you claims.
Which tip is your top choice? Vote now on our Facebook page or in the Comments box on this blog. You have until Friday, March 8th, to vote! We’ll announce the winner in our March newsletter.