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 [...]
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 [...]
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; [...]
The End is Coming! Yes, the end of version 4010 is December 31, 2011 and the commencement of version 5010 begins! Are you ready? Have you checked and tested with your clearing houses and/or payers? With all the hustle and bustle of December upon us this is just another process that must be done in [...]
Did you know you could increase your bottom line by $62,500.00 a year? It’s true and you can do it by stepping up efforts in your office by collecting patient copays. It’s that simple, so why are you not doing this? On average, a physician can see approximately 10 patients per day. Say each patient [...]
Medicare as well as most insurance companies requires physicians and/or providers that order services for patients prove medical necessity in documentation. The #1 error related to this requirement is not being able to identify the health care provider that ordered the service, through lack of either documentation or where the signature is illegible. Did you [...]
Freestanding emergency rooms Over the last few years, the laws in Texas have changed for freestanding emergency rooms. Now more and more physicians are opening up these kind of businesses, which is great for all the people who do not want to wait in a regular hospital emergency room! These free standing ER’s are definitely [...]
