Medicare

Medicare is a program administer by the federal government that provides health insurance coverage to older Americans age 65 and over and those that may meet special criteria for the program. The medical billing process is made complex because of the many rules and regulation placed on the program.

Medicare Holding Claims

Medicare Card

Claims for Medicare Patients May be Held by Contractors Here we go again..... Medicare claims may be held until January 16th. Why? Because Medicare needs time to update their systems due to … [Read more...]

No Medicare Cuts in 2013 for Physician Offices

Medicare Cuts 2013

Medicare Reimbursements Not Changing in 2013 Good news for doctors’ offices. The 26.5% cut in Medicare reimbursements to take effect January 1, 2013 has been averted as both the Senate and House voted to pass the “Fiscal Cliff” bill delaying Medicare cuts and adjustments to payments. … [Read more...]

5 Ways Physician Practices Can Prepare for the Affordable Care Act (ACA)

Affordable Care Act-001

Is Your Medical Practice Ready for the Affordable Care Act? With election season in full swing, there's been a lot of speculation about what will happen to the Affordable Care Act (ACA)--commonly referred to as Obamacare--if Mitt Romney is elected President. In truth, because the ACA is an Act of Congress, there is … [Read more...]

Yet Another New Medicare Influenza Vaccine Q Code: Q2034 Agriflu

Medicare Q2034 Flu Shot

Medicare Comes Up with New Flu Shot Code for 2012 Just when you thought you knew how to code for Medicare flu shots CMS comes out with another Q code for billing the influenza vaccine. The new code is Q2034 for the flu vaccine … [Read more...]

Q&A: Am I Just Dealing with a Coding Department that is Ignorant?

Medical Billing Questions and Answers

Medicare Patient Wonders if 99397 was Coded Correctly I received the following comment and questions from one of my readers, Mark. He is a Medicare patient who had a full routine physical exam from his physician. Mark asks if his doctor coded the physical properly with a 99397 … [Read more...]