Category: Medical Billing

Medical coding is the process in which medical coders assign numerical codes to medical diagnoses and procedures in order to bill insurance companies for reimbursement for healthcare services. For medical billing and coding, there are three main coding manuals, which contain all of the possible codes that a medical coder can include on a claim for reimbursement. They are: • ICD-10: International Classification of Diseases, 10th Revision, which refer to diagnosis codes. • CPT: Current Procedural Terminology, which refer to procedures and services performed on the patient. • HCPCS: Healthcare…

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Prosthetic billing outsourcing is quite a common practice among the healthcare providers, orthopaedics, and DME sellers. The basic reason is the inability of the in-house staff to handle the typicality of billing of prosthetics and orthotics. Often subjected to a copay and/or coinsurance, orthotics and prosthetics coverage demands different requirement for various devices and varies according to payers. This should come within the member’s benefits provisions. A prosthetic biller has a lot to do. That includes: • Collect prescription from the ordering physician dated prior to delivery date. • Consider…

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