Communicating with patients about their medical bills doesn’t have to be a lesson in patience. “But my insurance says they’ll pay for it if you change the code!” That’s probably not what the payer said, but it’s what the patient heard. Patients’ out-of-pocket expenses are at an all-time high, causing them to scrutinize their medical ...
In Audit
Jul 12th, 2019
The No. 1 claim error for June in 11 states plus the District of Columbia was for non-covered charges, according to Novitas Solutions, Medicare Administrative Contractor for Jurisdictions H (Arizona, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) and L (Washington DC, Delaware, Maryland, New Jersey, and Pennsylvania). This error is identified by Explanation of ...
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 ...