by Pete Crutchley | Oct 26, 2019 | Medical Billing News
Lovely lady. Sounded just like my late Mom too. She sounded if she was aged between 21 – 99. I called her to clarify one small point on her registration form and pretty much knew what the discrepancy was. I was right. She was born in 1957 and not in 1857. I’m...
by Pete Crutchley | Oct 25, 2019 | Medical Billing News
Undercharging or not charging the right fee is much more common than you may think. Consider the two real examples below. THE ENT SURGEON Surgeon A is an ENT consultant surgeon. He performs an E1910 on two different patients and bills both patient’s insurance company...
by Pete Crutchley | Oct 25, 2019 | Medical Billing News
A question, which was asked recently at a private practice seminar MHM were presenting at. Interestingly the question was asked by a consultant surgeon who had started his/her private practice two years earlier. He was of the opinion that such excess was the...
by Pete Crutchley | Oct 24, 2019 | Medical Billing News
The patient arrives for the consultation. He hasn’t obtained a pre-authorisation from his/her insurance company. Should you see the patient? Yes, of course, you should; patient care must come first. But the patient does not have a pre-authorisation! It does happen, it...
by Pete Crutchley | Oct 24, 2019 | Medical Billing News
It actually happened too. Consider a CCSD code for a follow up consultation = 20310. Now consider the CCSD code for a ECG = 20110. A consultant surgeon couldn’t understand why he was not getting paid the right values for his follow up consultations i.e. £150. Instead,...