In Billing
Nov 2nd, 2017
If you are as enthusiastic about medical billing and reimbursement, it can be vexing when we receive a denial. Here are some tried and true points that every biller should know to address a true appeal correctly. Know Your Coding In today’s multitasking office you will often find billers who are certified in both collections ...
In Audit
Oct 16th, 2017
You billed the insurance company for a service provided by your office only to receive a denial remittance. Is the denial valid? Why wasn’t the claim paid? Who can review the explanation of benefits summary and make a determination? Enter the appeals analyst — an essential position for physician offices, hospitals and clinics, as well ...
Part 2: Knowledge is your best defense against up-coding and missing or insufficient documentation. This month, we conclude our review of common mistakes leading to orthopedic claims denials, with tips to avoid those mistakes. In the last issue, we discussed unbundling and medical policies. Now, we’ll discuss up-coding and no or insufficient documentation. Note: Although this ...
Time is ticking: Target and manage unpaid claims now to increase revenue. Medical coding and billing professionals must work together to reduce the amount of unpaid claims in a practice. As an account ages, it is less likely to be paid. Aged and unpaid medical billing accounts cost the practice money. With proper coding, fast ...
Before denials and resubmissions take a toll on your practice, have a game plan that gets you paid. Fighting with an insurance company to get claims paid can be difficult. Accounts receivable staff must be on top of their game because incoming payments are needed to pay the light bill, the doctor’s malpractice premium, our ...