Medical Billing, Coding and Practice Management

 

A Full Service Medical Billing and Coding Company
Dedicated to a High Quality, Customized Service
 

Services 

 

Revenue Cycle Management

Demographic and Insurance Data Entry

Medical Billing Claim Entry

Certified Medical Coding

Patient Customer Service 

Patient Payment Services

Patient Statements

Posting of Insurance and Patient Payments

Denial Follow up

Claim Appeals

Provider Enrollment and Credentialing

Financial Reporting

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MASA Platinum Vendor

Recent News

January 01, 2019

Biospy Coding Changes for 2019

Say goodbye to 11100 and 11101 - 6 new biopsy codes have been introduced in 2019.

11102 (Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion) +11103 (… each separate/additional lesion (List separately in addition to code for primary procedure)

11104 (Punch biopsy of skin (including simple closure, when performed); single lesion) +11105 (… each separate/additional lesion (List separately in addition to code for primary procedure)

11106 (Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion)

+11107 (… each separate/additional lesion (List separately in addition to code for primary procedure).

January 01, 2019

2019 Changes to E&M Coding

Get Ready for These E/M Changes in 2019

2019 and continuing into 2020, practices should follow the 1995 or 1997 E/M documentation guidelines when reporting E/M office/outpatient visits they bill to Medicare. However, in the final rule, CMS does update some policies that will go into effect on Jan. 1, 2019, so it is important that your staff know both the current requirements and what’s new.

 

Review these revised policies in the MPFS final rule for 2019:

  • Update home visit decision-making. Comments poured in from practitioners that they should be able to make the decision on whether to treat patients at home or in the office — without excessive documentation to prove the medical necessity for venue. CMS agreed and is nixing the requirement. These services fall under CPT® codes 99341 to 99350, the MPFS noted.

  • Accept staff notes. Instead of re-entering “chief complaint and history” data that “ancillary staff” already updated, physicians can plow ahead with E/M office/outpatient visits for both established and new patients, suggested the MPFS fact sheet.

  • Focus on patient changes. Documenting new issues for established patients for office/outpatient visits is vital for quality care, and CMS will now allow providers to focus on that rather than information already in the medical record, especially if there’s evidence the physician reviewed the details, the agency said. “Practitioners should still review prior data, update as necessary, and indicate in the medical record that they have done so,” reminds the fact sheet.

  • Cut down on duplicates. The agency wants to simplify documentation for teaching physicians by removing “potentially duplicative requirements for notations,” particularly if residents or other medical staff have already uploaded their notes, the MPFS indicated.

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Michigan Billing Service, Inc.

Phone (248) 889-4580

Fax     (248) 889-4582