Special Offer for New Clients -
Call Today For Details!
Call 888-633-2457
Important Announcement!
Cape Medical Billing (CMB) is pleased to announce it has completed the purchase, installation and testing of its “state of the art” office backup generator system designed to mitigate risk of data loss associated with power failure. This purchase is in response to the changing weather elements and serves to ensure that CMB continues to provide the highest level of reliable service possible.
Rich Papperman, CEO states: “This is a substantial commitment to our clients and staff to ensure that our ability to service clients and perform our daily work will not be interrupted by a loss of power.” According to Industry experts, it is estimated that fewer than 5% of third party billing companies utilize this level of sophistication to backup their billing system in the event of power loss.
Notably, many CPB clients remotely access our scheduler, or connect to the CMB billing software, so power backup is essential and adds another layer of security to our daily operations ensuring “business as usual” without interruption when a power outage occurs. The backup system incorporates individual hardware battery backups (UPS) designed to carry the equipment for until the back-up generator starts (10 second delay). Since it is fueled by natural gas, it is extremely reliable and should never run out.
Thank you for allowing us to serve and protect your business!
Welcome to Cape Medical Billing
The world has changed! Gone are the days of “submit a bill, get paid.” In this new era, healthcare practices are the most affected, doing more work for less compensation.
-
Are your services being coded and billed correctly for maximum payment?
- Are you collecting 100% of what you should be?
If you aren't sure, we can get you the answers! Call today for your FREE, No Obligation Practice Analysis.
Medical providers must respond by turning to an expert in medical billing for strategic solutions in reversing revenue loss. That expert is Cape Medical Billing, serving providers from New Jersey to Georgia for over 20 years.
Cape Medical Billing is your single-source solution for the growing revenue leakage that plagues today's healthcare practices. CMB is ready to reverse your revenue leakage with:
- Fast Results
- Proven Track Record
- Innovative Software
- Free Appointment System and access to your patient database
- Customized Billing Programs
- Personal Service You Deserve
We Collect the HARD Stuff!
Cape Medical Billing is an experienced and highly-skilled medical billing service for Medical and Surgical Physicians, Podiatrists, Physical and Occupational Therapists, Ambulance services and Mental Health professionals.
Cape Medical Billing has developed a sophisticated, cutting-edge computerized billing program that puts more money in the pocket of the provider. Our powerful combination of technology, expertise and people drive unmatched results for our clients!
Digital Pen Technology
Ask about our "cutting-edge" digital pen technology! Eliminate scanning, faxing and couriers - the digital pen delivers charge form data automatically for faster billing. You will immediately increase the productivity of your practice by changing your pen!
Call 888-MED-BILR (633-2457) TODAY for your free demo.
Cape medical billing - A leader in its field!
Read the Atlantic City Press Story - Click here to Read
May 1, 2013 Newsletter
SEQUESTRATION
Now that sequestration has taken effect, what does that mean financially? Bottom line, you will see a 2% decrease in the 80% amount Medicare will pay.
The reduction applies to the amount Medicare will actually pay to the provider - AFTER - the appropriate deductible or copayment has been calculated. So, if the allowable is $100.00, the co-payment is 20% or $20. Medicare's payment was - pre-sequestration - $80.00 (80% of the allowable less any deductible).
NOW, post-sequestration, the $80.00 will be reduced by 2% ($1.60). So instead of the Medicare payment being $80.00, it will be $78.40. Unfortunately, providers are not authorized to collect the sequester related reduction from the patient. CPB handles this adjustment automatically for you. The patient (or secondary insurance) will still owe the full $20.00 (20%) co-insurance amount. If the pt has no 2’ insurance, it can be collected during the office visit.
If anyone needs to know the monthly average amount of Medicare payments or has any questions, contact Rich.
Aetna Well Visits
Aetna has some plans that only pay for 1 Well Visit every 24 months (not 12 months) for members age 7 (yes, seven!) and older. You may want to check the member’s plan before providing this service if the member is age 7 or older. If you are using our eligibility checking option in our Scheduler, you may find it there – if Aetna put it there.
How to Avoid PECOS Ordering Physician Denials
Medicare “blinked” again for “technical reasons.” They will not turn the edits on effective May 1, 2013.
Transitional care management codes 99495 & 99496
So far, only Medicare & Horizon will pay. Aetna does not. Horizon & Medicare are allowing the same amount: 99495 = $176.73 & 99496 = $249.06.
FAQ’s from CMS:
What date of service should be used on the claim?
The 30-day period for the TCM service begins on the day of discharge and continues for the next 29 days. The reported date of service should be the 30th day. Ex. Patient is discharged on April 5. DOS will be May 4th. The Place of Service is wherever the Face-to-Face service occurred (office, nursing home, etc.).
If a patient is discharged on Monday at 4:30, does Monday count as the first business day and then Tuesday as the second business day, meaning that the communication must occur by close of business on Tuesday? Or, would the provider have until the end of the day on Wednesday?
In the scenario described, the practitioner must communicate with the patient by the end of the day on Wednesday, the second business day following the day of discharge.
If the patient is readmitted in the 30-day period, can TCM still be reported?
Yes, TCM services can still be reported as long as the services described by the code are furnished by the practitioner during the 30-day period, including the time following the second discharge. Alternatively, the practitioner can bill for TCM services following the second discharge for a full 30-day period as long as no other provider bills the service for the first discharge. CPT guidance for TCM services states that only one individual may report TCM services and only once per patient within 30 days of discharge. Another TCM may not be reported by the same individual or group for any subsequent discharge(s) within 30 days.
Can we bill any services during the 30-day post discharge period? Yes. Second and subsequent E/M services after the initial bundled E/M service may be reported. Other diagnostic or therapeutic services may be billed.
Can TCM services be reported if the beneficiary dies prior to the 30th day following discharge?
Because the TCM codes describe 30 days of care, in cases when the beneficiary dies prior to the 30th day, practitioners should not report TCM services but may report any face-to-face visits that occurred under the appropriate evaluation and management (E/M) code.
