In Audit
Jan 8th, 2019
Explanation of Medicare Benefits (EOB) error message 96 Non-covered charge was the No. 1 reason for claims denials in December in all of Medicare Jurisdiction H, according to the region’s Medicare Administrative Contractor (MAC). “Prior to performing or billing a service, ensure that the service is covered under Medicare,” Novitas Solutions says on their website. ...
Tips for collecting what is due to your office. By Christy Richards, CPC, CPMA, AAPC Fellow Your practice’s financial well-being depends on reviewing all the parts of your revenue cycle and streamlining the payment process to ensure every opportunity to collect is used. To get you started, here are a few areas that often require ...
Jun 9th, 2015
By Nancy Clark, CPC, CPC-H, CPB, CPMA, CPC-I Almost every medical coder has seen denied claims. Becoming familiar with the reasons for these denials will increase the ability to prevent them, in the future. Sometimes, it is difficult to identify the specific reason for the denial based on the explanation of benefits (EOB) alone. We ...
In Billing
May 6th, 2015
Most medical claims denials represent internal errors. How do we fix them? First, determine if it is a rejection or a denial. Most rejections are data entry errors; whereas, denials may require additional investigation. All denials should be tracked and documented to ensure proper training is given to avoid future errors. This makes your staff ...
May 23rd, 2013
By Delly Parham, CPC Financial challenges are the top concern in practices today. One of these challenges lies in the obligations defined through physician contracts. Understanding the payer side of the industry better, so you can think like a payer, and knowing how they make money and set reimbursement rates, may help you to identify ...