GEM ????

On March 18, 2014, in Coding, Medical Billing, Medical Billing Service, by Deb Hoffman

GEMs ARE NOT A “CROSSWALK”   they are a guide.  All users should exercise CLINICAL judgement when choosing the appropriate code or codes to map between ICD-9 and ICD-10.  In Laymans terms:  THE GEMS are not a substitute for a COMPLETE system Change to ICD-10.  Get your PHYSICIANS involved.    As you know VISIT your resources  like […]

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Implementation: Clearinghouse

On February 20, 2014, in Medical Billing, Medical Billing Service, by Deb Hoffman

ICD-10 | Medical Billing & Payers ICD-10: OCT. 1, 2014: Are YOU READY OR NOT ?       Implementation Clearing House::::: Things to ask 1. Do you anticipate any pricing changes for your services due to the switch to ICD-10? 2. Where is your organization in the transition process? 3. Have you updated your system to Version […]

ICD-10 TRAINING

On February 12, 2014, in Career, Medical Billing, Medical Billing Service, by Deb Hoffman

ICD-10 | Medical Billing & Payers ICD-10:   OCT. 1, 2014:  Are YOU READY OR NOT ?  LETS TALK TRAINING One Cannot prepare enough–    GET ON THE TRAIN                           TASK:  1.    Identify staff members ( including clinical staff) who need training on ICD-10 2.    Identify the level of training each job function will need 3.    Identify the […]

 

ARE You ready or NOT? Step one PLAN & Assess

On February 5, 2014, in Medical Billing, by Deb Hoffman

ICD-10 | Medical Billing & Payers Are YOU READY OR NOT ? Step one Plan & Assessment PROJECT PLAN: Gain an overall understanding of the impact headed your way. Go to Professional Associations. ie. AMA, AAPC, AAFP, APMA, etc. Become familiar with ICD-10 requirements & tools to assist you. Human Capital Investment: Identify your project […]

 

ICD-10: OCT. 1, 2014: Are you ready or Not? Will All Payers Comply?

ICD-10 is revealing some of the more obscure nuances of the Healthcare industry. While all providers and clearinghouses must comply with ICD-10 regulations as ‘covered entities’ under the Health Insurance Portability and Accountability Act (HIPAA), not all payers are required to. Worker’s compensation (WC), disability insurance, and auto insurance payers are not covered by HIPAA, […]

 

Compliance – 2003 vs 2012

On September 24, 2012, in Coding, Medical Billing, News, Regulations, Security, by admin

In April of 2003, HIPAA was mandatory of all covered entities.  Many of us read the guidelines, tried to interpret them and made our manuals….but have you done anything to keep them updated since then?  Is the same manual on your shelf collecting dust?  Do you review the guidelines with your staff? Quite a few […]

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It’s the Leaders responsibility to place people in the right position to succeed” continues…

On May 8, 2012, in Career, Internet, Medical Billing, by admin

Once you have determined what your position should look like, what duties are involved and what time is necessary to complete the work, then you will need to advertise for the position. A few years ago, people advertised in newspapers and speciality magazines, but now the Internet is where it is at.Various browsers offer this speciality. Google, Indeed, CraigsList, […]

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“It’s the Leaders responsibility to place people in the right position to succeed”

On April 30, 2012, in Career, Medical Billing, by admin

“It’s the Leaders responsibility to place people in the right position to succeed” Your reply is always….that is a given.   Yet when an opening occurs in your place of employment, do you actually stop and consider all the aspects of a particular position?  I would say that most people don’t, particularly if they have a […]

 

5010 Migration

On January 9, 2012, in Medical Billing, News, Regulations, by admin

Another year to start again or go forward or to renew/reflect!  Or we here at Omega are busy with the 5010 format changes!   Reflecting….starting again…don’t have time.  This new format has us all on the run.   Submit the claims, it comes back….this provider wants it one way and the other wants it another….!!   And this […]

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Merry Christmas From Omega Medical Billing

On December 22, 2011, in Medical Billing, Medical Billing Service, News, by admin

Head Off Most of Your Claim Rejections With 2 Simple 5010 Tips   More than half of claims submitted in 5010 testing batches are rejecting for 2 reasons… Make sure your billing provider and service facility addresses are street (physical) addresses. These addresses MUST have the zip+4 zip code and CANNOT be a P.O. Box; […]