A surgical procedure performed on both sides of the body or organ.
Tag: USA
Bilateral surgery
Situation when a surgical procedure is performed on both sides of the body or organ. A five-digit CPT code number is used with an attached modifier -50 to list the procedure. If listing more than one modifier, place modifiers affecting reimbursement first, in descending order, followed by status modifiers.
Bill
To assign a fee for medical services and supplies provided by a provider that were rendered to the patient and to present an itemized statement of the charges.
Bill cycle
1. Day of the month on which specific groups (Medicare, Medicaid, managed care, commercial payers) are scheduled to be billed. There are 30 bill-cycle days per month including weekends and holidays. 2. Day of the month on which specific accounts by alphabet, account number, insurance type, or date of first service are scheduled to be billed. Also see cycle billing .
Bill frequency
Rate of regularity that a subscriber or group is billed by the insurance company for premiums due. This may be monthly, quarterly, or annually.
Billed claims
Insurance claims with fees and procedural and diagnostic code numbers submitted by the provider to the insurance plan for health care services or supplies provided to their enrolled members or insureds.
Billed direct
See: direct pay .
Billed-at-home
See: direct pay .
Biller
Individual who completes and transmits insurance claim forms for professional services rendered to a patient by a health care provider or supplier to insurance carriers and/or fiscal agents for private, state, or federal programs.
Billing
1. To send a statement for medical services rendered to the patient. 2. In Medicare fraud, to bill for services or supplies that were not provided. This includes billing for “no shows” (i.e., billing for a service not actually furnished because a patient failed to keep an appointment).