In Billing
Nov 13th, 2014
Usually, front desk personnel verify insurance and patient demographic information. This is vital to the revenue cycle. When a patient walks through the door, reception is the first point of contact. Patients will complete necessary paperwork and return it to the receptionist. The patient’s identification and insurance card must be copied and placed in the ...
In Billing
Jun 9th, 2014
Evaluation and management (E/M) services comprise a significant portion of most providers’ billable services. To ensure coding (and reimbursement) reaches optimal levels, providers must be careful to document services carefully. Here are five common problem areas to watch for. 1. Legibility When it comes to coding, two fundamental rules are “Not documented, not done,” and ...
When it comes to medical documentation, you can’t use (or bill for) what you can’t read. For example, in the inpatient setting, many hospitals request that providers with poor penmanship return to re-document or amend notes so that they are legible. This became especially important when, in October 2008, Medicare changed to medical severity diagnostic related groups ...
In Audit
Aug 30th, 2013
Preventing claim denials is far more efficient than wading through resubmissions and appeals. The good news is, the most common reasons for claim denials are also among the easiest to avoid. The key is to get “back to basics” and pay attention to easily overlooked details. Here are five problem areas to consider. Orders Gone ...