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  1. #1
    Join Date
    11-02-15
    Location
    NY
    Posts
    1

    Default Medical Billing complexities and their solutions??

    Healthcare providers are facing which type the complexities in medical billing operations and what is solution of them.

  2. #2
    Join Date
    06-25-04
    Location
    Kansas
    Posts
    1,784

    Default Re: Medical Billing complexities and their solutions??

    Different payers require use of different forms each of which has its own instructions. In addition, about a year ago the system of coding changed from ICD-9 to ICD-10 which added a large number of codes to improve specificity, but also failed to include codes that would have added specificity to certain things, such as for HD and PD access infections.

    Many patients on dialysis have Medicare. There are Medicare manuals that explain Medicare benefits (Medicare Benefit Policy Manual) and how to file a claim (Medicare Claims Processing Manual). Manuals for different provider/supplier types can be found at https://www.cms.gov/Regulations-and-...uals-IOMs.html.
    Beth Witten MSW ACSW LSCSW
    Medical Education Institute, Inc.

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