Medical Billing and Coding

Medical billing is the act of billing individuals or entities for medical services rendered to them, while medical coding refers to the act of entering alpha numeric codes representing procedures, diagnoses, medications and various parts of the body to medical records.

7,024 Questions
Medical Terminology
Medical Billing and Coding

What is the icd-9 code for flexion contracture?

ICD 9 CM Code for flexion contracture- 718.40

433434435
Medical Insurance
Medical Billing and Coding

What does the medical abbreviation UCR mean?

Usual, customary, and reasonable.
Usual, Customary & Reasonable The fee that an insurance company establishes as a standard fee for a procedure. Check your insurance plan -- your insurance company will pay up to this amount for a particular procedure.
It can mean different things in medical terminology and, typically, the context is needed to be sure that the acronym is correctly decoded in the situation at hand. Since this question was placed in the medical billing and coding category, I'd suggest that you are looking for UCR meaning "Usual, Customary and Reasonable". This is a term from the health insurance industry that is used to explain how the insurer payment amount was determined that was given to a provider for fee-for-service claim billings.

The US insurance industry organization shares information among the carriers about the typical (usual, customary and reasonable) charges, payments, and final amounts providers accepted for their services, from reports of all claims paid nationally by member insurance companies. This is a huge amount of data that is then crunched to come up with the UCR for each particular service. Most insurer contracts with providers will specify UCR as the method of determining reimbursement amounts for many services, unless flat fees, capitation or other specified reimbursement methods or systems are negotiated. These UCR amounts for each provider service code (ICD-9-CM, CPT, HCPCS, etc.) are annually adjusted, based on the data of the prior year, and distributed among the insurers for use in renegotiating contracts with providers. The complex computations of the UCR in each contracting situation can, however, vary from insurer to insurer and contract to contract.

Other meanings of UCR you may be looking for might be:

Uniform Case Record (used in the medical information management fields to define documentation requirements, etc.)

Unit Carcinogenic Risk (probability, per dose unit of a chemical or compound, for producing cancer).

361362363
Medical Terminology
Medical Billing and Coding

What is the ICD-9 code for Thyroid disease?

246.9

355356357
Medical Insurance
Medical Billing and Coding

What does the ICD9 code 272.0 mean?

ICD 9 Cm Code 272.0 - Pure hypercholesterolemia

Familial hypercholesterolemia

Fredrickson Type IIa hyperlipoproteinemia

Hyperbetalipoproteinemia

Hyperlipidemia, Group A

Low-density-lipoid-type [LDL] hyperlipoproteinemia
pure hypercholesterolemia

331332333
Medical Billing and Coding

What is the icd9 code for a bicep tear?

727.62 - Nontraumatic rupture; tendons of biceps

If the tear is unspecified in nature or traumatic, it will code to a sprain, 840.8 - Sprain of shoulder, upper arm.

329330331
Medical Insurance
Retirement Planning
Medicare and Medicaid
Medical Billing and Coding

What is medicare cpt code for anorectal manometry?

90911

299300301
Medical Billing and Coding

How many digits does Category III codes have?

Category III codes have 3 digits and one Alpha. For example, 0019T. They are temporary codes for emerging technology, services, and procedures (taken from CPT 2011).

297298299
Medical Billing and Coding

What is the cpt code for a lumbar cushion?

I don't believe this is a procedure that warrants a CPT code. I believe you may be looking for a HCPCS code, but we need more details for the appropriate code.

297298299
Conditions and Diseases
Medical Billing and Coding

What is the ICD 9 code for radiation sickness?

990

275276277
Medical Billing and Coding

Will an unpaid medical bill damage your credit?

Unpaid Medical Bills Affect on Credit(A shady answer covering both sides)

Because not all situations are so black and white as figures, the answer is probably, but not by any means definately. Lots of times medicare's (especially medicares) system of bililng is so complicated things get lost, for in most if not all states they only have a certain amount of time to bill for the services, many billing departments fall behind because of the aforementioned complications. In conclusion there are many bills that were never "claimed" by any insurance or hospital and went to the wayside and yes I've got multiple examples, but u guys can look those up your selfs.

Here are opinions and answers from FAQ Farmers:

  • YES! Here is an example. I was in a car wreck a little bit over a year ago. I was immediately taken to the hospital in an ambulance. At the hospital the ambulance driver came and got from me my drivers license and medical insurance card. The driver inadvertently copied my address and name down wrong due to the rush that she was in to close this file and proceed to the next. The bill was submitted to my insurance company who said: is not a customer of ours. And the address is wrong for the closest match. Letters were sent back and forth via my attorney' office, and the Debt Collection Agency could not get my correct address entered into their system. Long story short no one paid the bill because the collections agency did not change the information in their files to match the insurance company files (would not even call the insurance company, just called me), and the insurance company would not pay because the information did not match a customer of theirs. I am now stuck with a mark on my credit from the collection company, and will probably end up in court over it.
  • If the bill was wrong to begin with, any damage to credit can be fixed resulting from the billing error can be fixed.
  • This is a procedure which needs to be outlawed. In order to go onto a credit report it needs to be credit. Did you fill out a credit application? How about this, did you know before the service what the total cost would be and how much the payment would be per month? These are bogus entries on a credit report and should not be allowed to be posted on a credit report. By the way health care probably won't tell you up front what the cost is going to be, it will blow their chance of over charging.
  • I owe 18,000 in medical bills and I am 23-years-old and can't even get approved for a credit card or a car. I am planning on just waiting out the seven years.
  • IN THE LENDING PROSPECTIVE; WHEN YOU HAVE A MEDICAL BILL THAT IS UNPAID THE BEST THING TO DO IS LOOK AT YOUR CREDIT REPORT AND SEARCH TO SEE IF THIS BILL IS A 2006 UNPAID BILL, IF SO THEN DEFINABLY CALL AND PAY THIS IMMEDIATELY. NOW THIS ONLY APPLIES FOR THOSE WHO ARE INTERESTED IN PURCHASING A HOME FOR THIS NEW YEAR. IF YOU HAVE A MEDICAL BILL THAT IS O VER A YEAR OLD THEN DO NOT WORRY ABOUT IT THIS BILL DOES NOT HAVE TO BE PAYED RIGHT AWAY. WHEN YOU ARE ABLE AND READY TO PAY A BILL THAT IS PENDING THEN DO SO.

You can contact the hospital & request a bil reduction based on your income & if you have no insurance or it did not pay all of the bill or sue the other accident partys insurance company for any charges if it was their fault.

**** I worked for Blue Cross/Bs for more than 12 years . It CANNOT effect your credit if you agree on a settlement (that incurs income on your taxes, however much is "written off") for the balance due. Secondly, Auto & W-Comp are not "medical bills." The casualty in medical (health insurance) is waaaaaaaaaaaaay different legally than auto insurance. If you agree to pay $5 a MONTH, YES $5 a month , it will not effect your credit at all (medical). This is "written in stone" as legal. Basically, the object is to bury the health care professional in paper and offer you a HUGE discount. Take case in point you have a bill because either you do not have health insurance (NON AUTO/COMP CASUALTY) and/or you DO have it but have a high deductible. The bill for an MRI is $1000 . The insurance company will calculate the 'eligible amount' if you have a deductible the 'allowed amount is reported on a EOB (explain/bene) and to the provider of the amount you owe. If you are unable to pay it in full.. $5/mo. Now, consequently , if it's three years from the Date of Service, its a collections issue. Depending on the amount,it CAN go to reported credit due to you being irresponsible in not making a deal. Even if you call the provider and tell them you have a financial issue (especially facilities/hospitals make agreements) you may want to look into charity care or look into your state's programs to see if you can get assistance. There are sooooooooooooooo many scenarios the question asked here is too broad of a topic...

271272273
Associates Degrees
Job Training and Career Qualifications
Salary and Pay Rates
Medical Billing and Coding

How much does a Medical Coding degree cost?

There are no standard tuition and fee rates for colleges and universities. Each institution will have rates particular to itself. There are a number of variables to consider to include whether the institution is public or private, the geographical location, the specific program of study (some of which have greater course and/or clinical fees), and whether the school is a two year or four year institution. Once you collect the names of some colleges and universities you have an interest in, you can then research the cost specific to those institutions.

273274275
Medical Billing and Coding

What is the v code for glaucoma screening?

v80.1

255256257
Medical Insurance
Medical Billing and Coding

Arthroplasty of the fifth toe cpt code?

28288

231232233
Medical Insurance
Medical Billing and Coding

What does code 710.9 mean for medical billing?

710.9 Unspecified diffuse connective tissue disease

249250251
Taxes and Tax Preparation
Income Taxes
Medical Billing and Coding

What percent of medical bills are tax decuctible?

If you itemize your deductions using the Form 1040, Schedule A itemized deductions, you may be able to deduct your UNREIMBURSED medical expenses you paid during the year for medical care.

You can only include the UNREIMBURSED medical expenses you paid during the year. Your total medical expenses for the year must be reduced by any reimbursement.

You may deduct only the amount by which your total UNREIMBURSED medical care expenses for the year exceed 7.5% of your adjusted gross income. You do this calculation on Form 1040 Schedule A in computing the amount deductible.

You can find the below information by going to the IRS.gov website and using the search box for Publication 502 (2009), Medical and Dental Expenses

237238239
Medical Insurance
Salary and Pay Rates
Medical Billing and Coding

How much does a medical billing and coder make?

This will range depending on your experience and the nature of work you are doing. A medical coder can make upwards of $40,000 working from home as an independent contractor after a few years of experience, while coders running their own coding firm can earn over $100,000 a year. There are many cases of these happening.

Not too much. It is a hard work. Advertisers just make it look cool,but I don't think that it is. Medical coding personnel in a doctor's office without credentials earn about $12-$15 an hour. If you are credentialed then it's about $18-$20 an hour. In a hospital, coding personnel earn about $20+ per hour.

The Government Occupational Outlook handbook suggests that the industry of healthcare is still going to grow for the next decade so expect some improvement with the salary as well.

969798
Medical Insurance
Medical Billing and Coding

What does medical service code 28400 CPT stand for?

Procedure code for: closed treatment of calcaneal fracture; without manipulation.

235236237
Insurance
Life Insurance
Medical Billing and Coding

How can you find out if you are the beneficiary on a policy?

You need to contact the insurance company to find out. Unfortunately, there is no easy way to find out what insurance company, if any, the person was using. But here are a few hints: If you have access to the person's records, look through the files for a copy of the policy or cancelled checks to an insurance company. If the person had auto or home insurance, contact that company. Many people keep all their insurance policies with one company. Ask relatives of the person who died, if they know of a life insurance policy and if so, with what company. Contact their state Office of Unclaimed Property, they would have a record of the insurance payments.

238239240
Medical Insurance
Medical Billing and Coding

What does medical service code 62311 cpt stand for?

62311 refers back to code 62310: in its entirety, the code would read as follows:

Injection, single (not via indwelling catheter), not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; cervical or thoracic; lumbar, sacral (caudal).

In bold is where the 62311 comes in; the entire first portion is 62310. 62311 includes all of 62310 as well as it's own portion in bold. All of this is directly from the CPT manual 2011.

233234235
Medical Billing and Coding
Wills
Gun Laws

How do you find out if you are a beneficiary of a life insurance policy?

The National Association of Insurance Commissioners has a "Life Insurance Company Location System" to help you find state insurance department personnel who might help identify companies that might have written life insurance on the deceased. NAIC's Life Insurance Company Location System - five questions, using your best guess if necessary, then click on the 'Create Suggested Contacts' link to view a list of State Insurance Departments that may be able to assist you with your search. - (external-apps.naic.org/orphanedpolicy)

Here's an authoritive article on this subject

I used this service and got results in seven days: www.policylocator.com for $75.00

Have the owner or insured contact the company and ask.

Simply contact the insurance company and ask for the claims department. Explain to them the situation and they can tell you who the beneficiary is. They will be happy to settle a claim for you in most cases! You may also want to check and see if there is an agent listed as a contact within the paperwork you have and start there. Good luck!

Life insurance is a private transaction, the only people who need to know this information are the owner of the policy, the life insurance company, and the executor of the estate (if deceased).

The best way to find out is to ask the owner of the policy. If the life insurance company tells you, they are violating part of the trust the owner has in them. In fact, even if the insured/owner is recently deceased, companies should not confirm the beneficiary until after they receive a death certificate because any stranger could call up and ask.

227228229
Medical Billing and Coding

What is the icd9 code for patella alta?

844.9 Type your answer here...

225226227
Medical Insurance
Medical Billing and Coding

What is icd-9 code depression?

311

213214215
Medical Insurance
Debt Collection
Medical Billing and Coding

Can medical billing agency charge service fees?

Yes.

213214215
Healthcare Coverage While Pregnant
Medical Billing and Coding

What is pre hospitalization?

The time period before a patient is admitted; usually prior or during transport of a trauma victim to an emergency room.

211212213
Medical Insurance
Medical Billing and Coding

What are all cpt codes for family therapy?

90846, 90847, 90849, or 99510

207208209

Copyright © 2020 Multiply Media, LLC. All Rights Reserved. The material on this site can not be reproduced, distributed, transmitted, cached or otherwise used, except with prior written permission of Multiply.