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Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts

Sunday, November 13, 2011

Medical Billing - Oxygen

Before we get into the record specifications for billing oxygen claims, we're going to briefly discuss what is involved with oxygen billing and what it covers. In spite of what a lot of people think, it's more than just the oxygen itself. Oxygen billing, as a part of medical billing itself, is one of the most widely billed items.

Part of the reason for this is because of the number of smokers we have in the United States, which is where these billing specifications are meant for. Unfortunately, one man's suffering is another's prosperity. The number of smokers in this country who ultimately end up with chronic respiratory disease are the main contributors to the oxygen billing industry. It is estimated that if smoking didn't exist, at least 75% of the number of oxygen claims could be avoided. While nobody has actually proven this statistic, certainly the overall problems that have been uncovered because of smoking, do at least partially support this theory. Hopefully, the day will come when smoking is a thing of the past and these theories can be proven.

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However, until that happens, oxygen billing will be big business. And as was stated up above, it is more than just billing oxygen. There are a number of pieces of equipment that go along with a patient who is on oxygen. All of these items are billable and come with quite a high price tag. And everybody wants to get a piece of the pie, from the manufacturers of the equipment itself to the doctors to the forms makers to the billers. It's no wonder that medical costs are so sky high. And of course as is true with just about everything else, where the demand is the greatest, the costs are also the greatest. In comparison to other billable items, oxygen therapy ranks up towards the top.

The actual items that are billable cover quite a range of things. There is of course the oxygen itself, which they literally bill by the liter. Every breath is costing somebody a fortune. And of course the oxygen has to be contained in something and also distributed via some means.

Probably the most common way for oxygen to be administered to a patient is through a device called a concentrator. And make no mistake about it, these things cost a pretty penny. Concentrators are made up of a number of parts, all of which can easily break down. So concentrator repairs also add to the cost of these claims. In some cases the concentrators are under warranty, but for patients who are on oxygen long term, such as patients who have serious lung diseases, these warranties are usually only good for a year. After that, any repairs have to come out of the patient's pocket.

Of course none of this even touches on the complexities of oxygen billing, which require calculations and conversions in order to bill the exact amount of oxygen the patient must get per every 30 days or so. This also is added to the cost of billing and the ultimate cost to the patient or insurance company, which ultimately leads to higher premiums.

In our next installment, we'll begin our coverage of the GX records, which are used for medical billing of oxygen claims via electronic media.

Medical Billing - Oxygen

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Thursday, October 27, 2011

Medical Billing And Coding Jobs Still Show Great Promise

The basic function of medical billing and coding jobs can be defined as the practice, of translating medical terminology, diagnosis, diseases, and treatments into coded billing statements which can then be submitted to health insurance providers for payment.

Each and every day doctors treat tens of thousands of patients for all sorts of ailments such as minor bone breaks and sprains, to serious diseases such as cancer and diabetes. These physicians are entitled to receive reimbursements from healthcare insurance providers for the services they provide, and as a result, have a need to hire people to perform this function effectively and efficiently.

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Individuals employed in medical billing and coding jobs become very specialized and extremely valuable to the physicians and medical facilities with whom they are employed. They must be able to work quickly, accurately, and expedite the process in a timely manner. In addition, a medical biller and coder must be able to help patients with their insurance claim related questions as well as deal with insurance providers in order to resolve issues which arise.

Pursuing medical billing and coding jobs today, can lead to unlimited opportunities in the future. For example, with a little initiative, persistence, and perseverance many coders and billers working within healthcare facilities find themselves presented with opportunities in senior management or administrative positions. Others, with a more entrepreneurial spirit, can set up their own medical billing and coding agencies, and take advantage of working from their own home.

In fact, the popularity of medical billing from home and medical coding from home is increasing at an unprecedented rate. From the perspective of the employer, there is an immediate cost saving in that many of these positions are set up on a contract basis meaning that certain benefits do not have to be paid. The medical biller or coder on the other hand, has the flexibility of setting their own hours, eliminating commute time, and are able to better balance work and personal life.

There is a tremendous need for billers and coders, and as a result, there are generally many medical billing and coding jobs available within the healthcare industry. Most employers, however, will only consider and hire individuals who are qualified.

If you are looking for a career within the industry, take it seriously, and view it as a career not just a job. The opportunities are endless and the work can be satisfying. No matter where you are located or how busy you are, there is a program at a college or online, which will enable you to get qualified and begin your journey.

Medical Billing And Coding Jobs Still Show Great Promise

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