In Audit
Sep 2nd, 2019
Lower denial rates are key to turning around large healthcare organization payment issues. When you are a large organization, the number of denied claims can be overwhelming and cost a staggering amount of money. To manage this can be a scary prospect — but fear not, we are here to help. Two things are crucial ...
Jun 5th, 2019
Men still command higher salaries than women in the same occupation, according to an article published by the U.S. Census Bureau, and education doesn’t help matters. “While workers with a bachelor’s degree earn about double that of their co-workers without a college education, the difference between men’s and women’s earnings widens with more education,” demographer ...
In Billing
May 30th, 2019
To protect the privacy of Medicare recipients and prevent fraudulent use of Social Security Numbers (SSN), a new, unique 11-character Medicare Beneficiary Identifier (MBI) is replacing the SSN-based Health Insurance Claim Number (HICN) for Medicare transactions such as billing, eligibility status, and claim submissions. The MBI does not change Medicare benefits. What’s Behind the Change? The ...
Be on the lookout for clues to submit a successful appeal. Denials and appeals can be the most frustrating parts of a coder’s job. I have been on both sides of the fence — working pro-fee for a healthcare system, handling denials, and working for a payer, looking at denials. In my experience, there are ...
Apr 10th, 2019
Beginning this month, nine HIPAA-covered entities — a mix of health plans and clearinghouses — will be randomly selected by the Centers for Medicare & Medicaid Services (CMS) for compliance reviews. Any health plan or clearinghouse — not just those that work with Medicare or Medicaid — may be selected. The CMS Division of National ...