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The ABN (Advanced Beneficiary Notice) is a document provided to Medicare patients  by a provider prior to a service that is being given that is unlikely to be covered by Medicare.  The notice indicates that the service is not going …
The  Social Security Act, the Centers for Medicare & Medicaid Services (CMS) is mandated  to protect the Medicare Trust Fund against inaccurate or excessive payments that pose risk to the Trust Fund and  to take corrective measures to correct such. …
A person went into the hospital for a surgery on a herniated disk. He signed a bunch form set before him. Well, after the surgery, the bills started arriving. Bills in the range of $4,300 for the anesthesiologist, $56,000 from …
Alicia: ICD-10-CM Under Dosing Medical Coding – This is really interesting. There are certain things about ICD 10-CM that you need to be aware of so that you can assist your physician as the transition happens to say, “Hey! This …
As a medical billing instructor, I am frequently asked about the new CPB credential from AAPC. I think this new credential is great, and I feel students just out of a good medical billing course do have a chance of …
Beneficiaries must be notified in writing  of the expected out-of-pocket expenses related to an elective surgery that is not covered by their insurance over the amount of $500.  The disclosure is required to be given by surgeons and assistants. For …
It is important as an medical biller to learn how to deal with difficult clients. Clients can be patients who need to understand their health insurance or payers. Â The main difficult clients you will deal with are the ones who …
Alicia:    Back to Basics – This is something I’m really excited that we’re going to implement is this Back to Basics especially since we got so many new people and on credentials, they’re working on being coders or think they …