We do not have contracts with the private insurers but we are a Tier 2 facility. We understand that they have to pay us the default benefits but what is the timeframe for these payments?
…
read more >I went to a course on Medicare billing and was given all these templates to use. I now use them for most of my clinical records but wanted to check whether this meets Medicare’s record keeping…
read more >We are noticing a pattern whereby a workers compensation insurer is refusing to pay our case conferences without first seeing the case conference report. What should I do?
…
read more >I’m doing research and am confused about codes. Why do hospital records for the same patient show both items 32222 and 32090-00 for a colonoscopy when it’s the same procedure? Why are the it…
read more >I admit privately insured chronic pain patients for overnight ketamine infusions. There is no specific Medicare item for the infusion itself. Can I charge the patient a private fee (e.g. $1,40…
read more >I read your book [sic: How to Avoid the Medical Bill Rip off! By Margaret Faux] and think you are wrong on Maeve’s case. That dermatologist definitely attended so he/she was allowed to bill it…
read more >We are a new, small private hospital in NSW and have only been open for a few months. We have been informed we have to submit PHISCO data but we thought we only had to submit HCP and PHDB data…
read more >We are a small private hospital and can’t afford to hire clinical coders so we have been doing it ourselves. However, we have recently become aware that we are making coding errors. While we k…
read more >I keep hearing the term ‘Tier 2’ used in different contexts. Is a Tier 2 private hospital the same thing as Tier 2 funding for public hospital outpatients?
…
read more >I’m a physician and have admitted private patients. I typically bill item 116 for all follow-ups on my ward round. Ten patients takes about 20-30 minutes. I check their medications and any r…
read more >
