Pass-through billing occurs when an ordering physician requests a service and bills insurance for it but does not perform the service, nor do those under the physician’s direct employ. Insurance companies generally forbid this practice.r.
The Coding and Documentation Review is an in-depth review of medical record documentation and claims coding that identifies deficiencies and areas of risk. Correct coding can help you avoid delayed and incorrect reimbursement.
It’s been called the “nurse visit” code, and also “the most abused code in the CPT book.” Because the CPT code 99211 definition specifies that the service billed, “may not require the presence of a physician or other qualified health care professional,” some practices apply it to any service a nurse provides. But that’s not always correct.
The TMA Financial Trend Tracker is a free online tool to help association members and their staff track monthly and yearly net collection ratios, accounts receivable percentages, and new and established patient visits. The tool presents a practice's key performance indicators via easy-to-read graphs and charts.
TMA Practice E-Tips is a popular e-newsletter published twice a month that offers four brief, practical tips for managing a medical practice in Texas. Keep up with some of the latest news on health plan coding, billing, reimbursement, HIPAA, and much more.
Got Billing or Coding questions? Contact the Knowledge Center.