admin's blog

The House of Representatives have just voted via "Unanimous Consent" to approve the two-month postponement of the SGR related cut, among other things. This action follows the Senate's passage of the two-month "fix" last week. The bill now goes to President Obama, who is expected to sign the legislation.

We’ve done the analysis: More than 60% of claims submitted last month to Availity would have failed 5010 compliance due to two simple errors.

How do you avoid the same fate?

Check your service address
First, confirm that your billing provider and service facility addresses are complete street addresses with a full 9-digit ZIP code, not a PO Box or lock box.

Confirm the NPI
Second, confirm that you are using the National Provider Identifier, or NPI, and not an employer identification or Social Security Number as the primary identifier on your claim.

You've probably already received the sign up forms in your e-mail, if you haven't, request one now. Our 2012 User's Meeting is shaping up and we're looking forward to everyone coming. We will be adding more details as time gets closer, just make sure you reserve place at the meeting today!

Healthpac Computer Systems, Inc. is testing on behalf of all sites with clearinghouses and payers/carriers across the country in preparation for the 01/01/2012 mandate for the Version 5010 transaction. Sites like yours will be updated and involved directly when applicable. All Healthpac sites will be ready to file production status claims in the 5010 version as mandated.
We expect to be involved in the testing process in some way with for the remainder of 2011. We will continue to send updates as they are applicable and available.

E-prescribers are required to use a qualifying e-Rx system and report the proper G Code (G8553) on at least 10 Medicare Part B claims from Jan. 1-June 30, 2011, to avoid the 2012 penalty.

For almost all of the nearly thirty years we have been in business we have relied on the D3 database as a platform for our medical billing software. Over this time many companies have promised a similar solution, but they were never able to meet our standards. Compared to the newcomers, D3 remained better at speed, data integrity, and having a solid multi-value environment to work in.

The CMS (Centers for Medicare & Medicaid Services) announced that additional federal matching funds will be given to four states (NJ, LA, MN, &MD) to help implement the electronic health record incentive program. This incentive program was established by the American Recovery and Reinvestment Act of 2009, and is very important in developing a strong U.S. health information infrastructure.

For today's Anesthesia physician, there is so much to accomplish within the administrative office. Keeping abreast of all the new medical coding requirements. Billing and collecting enough to stay profitable. Instituting, upgrading and perfecting electronic billing processes. Finding ways to stay compliant with the new HIPAA privacy and security standards without completely disrupting your office and re-designing most of your processes. Recent surveys show that completing paperwork on each anesthesia patient is estimated to take an average of 30 minutes per patient.

The term "medical billing" refers to the process of submitting medical claims to medical insurance companies so that doctors or other healthcare providers can receive payment for services rendered.

If you are reading this because you are shopping around to get into the medical billing industry, we have two things to say to you. First, congratulations, medical billing can be a rewarding and profitable career. Welcome to the industry, and be sure to contact us and let us know what your needs are.