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Texas Department of Insurance Imposes Fines on Payers, Doctors, Clinics

The Texas Department of Insurance, Workers’ Compensation Division (TDI-DWC) has just released a list of payers, clinics, and doctors for whom disciplinary measures have been imposed due to violations of the Texas Labor Code and DWC rules. A brief review of the Enforcement Actions posted for 2011 reveals that roughly half of the entities who […]

New Place of Service (POS) Code: Walk-in Retail Health Clinic

Mark your calendars!  A new place of service code goes into effect May 1, 2010. Billers and managers for these types of clinics should check with their practice management software companies and clearinghouses to be certain that the new code will be added before the effective date.  They will also want to notify their billing […]

Today’s Tip: Submitting Paper Secondary Claims

A good number of provider offices are still submitting secondary claims on paper rather than electronically for a variety of reasons.  Today’s tip was written with the goal of reducing the number of denied secondary paper claims by making just a  few simple changes. Basic information New billing staff should understand that the secondary insurance […]

Billing a Non-covered Service under a Payable Code

Can we do that? I could not begin to recount all the times I have heard healthcare providers or their staff ask if they can bill Medicare or another insurance carrier for a non-covered service that they perform, but just code it as something else so that they can get paid. It is little wonder […]