If you are submitting a medical claim billing to an insurance carrier, probably the most important point in relation to the institution concerned, is the item in the invoice. When all is said and done, that article is what is going to determine whether this claim is paid. Why, because even if an element of proof that the patient, if it is from a doctor is not entitled to the item on the claim itself is still denied. What's this have to do with inventory files? A lot, actually. At this rate we will have some basic things you need to know when setting up your inventory files.
The bulk of the inventory of each item is the item description. Many medical billing staff do not realize that this field is not for discussion. The item description, the technical description of how they are in the Medicare, Medicaid or private insurance guide. Even if a character is, the claim will probably not be paid. If this sounds nit picky, put a call in a medical facility of the U.S. government and asked her if it ok to use abbreviations. The answer you get will be much less than lovable.
Then there is the issue of the serial number, when renting points. Medical billing personnel can not understand what the big deal is, if a serial number is incorrect, or worse, missing. Well, try a right without a file. Worse yet, try to get a replacement if the wheelchair to the patient with the property not the one that Medicare has in its files.
Biller, what most do not know is that most DME inventory file fields to the modifiers for this serial article. The theme of the modifiers are introduced in detail in a later article. For now, what you need to know is that if a rental item billed, not just the first month, but for every month thereafter, these modifiers are updated and again in the file. If the modifiers are not properly consider or even worse, do not save in the first place, then the claim will be denied because of the lack of modifiers.
Your medical billing process is more complicated when posting items that are not in the individual units, such as, for example, if you have something that the settlement in either a box or case. What does this have to do with inventory? Well, most DME inventory files, which is an item box, which determines whether the item is a single element, array element of the case point. A case item is an item with multiple fields. If your invoice, whether it is one of the elements, not a single item, the software, through a switch, since most medical billing carriers require that all invoices are in units. The theme of the conversion will be addressed in detail in another installment. All of this information, however, must be included in the inventory file.
And that only scratches the surface. Inventory files are very complex and a large percentage of what is in a medical bill depends on these files. Therefore, it is important that you ensure that they are correct.
Michael Russell
Your independent guide to Medical Billing
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