In Billing
May 29th, 2019
There are the standard reasons medical claims are denied, such as putting the wrong modifier on a code or putting the diagnoses in the wrong sequence. But did you know that some reasons are not the fault of medical coding? 5 Ways Your Claim Can Be Denied Denials can be cause by more than an ...
In Billing
May 23rd, 2019
By Rebecca Caux-Harry, BFA, CPC One of the many benefits of working for a nation-wide company, such as 3M Health Information Systems, is visibility into payer actions from coast to coast. Many customers send us comments about payer actions and ask if we can help with some of the issues. This is an extremely valuable ...
In Billing
Oct 19th, 2018
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and ...
Better equip yourself to answer patient questions and secure patient cost-sharing. Nothing stays the same for long in this industry, so even if you are a seasoned healthcare business professional, you may not know all types of insurances and plans available, and how they work. A quick review will assist you in correctly coding, billing, ...
In Coding
May 3rd, 2018
Increasing revenue requires communication, follow-through, and compliance. Healthcare insurance (commercial and government) is the main source of income for most providers. But insurance companies have a quirk: If you don’t follow their rules, they won’t pay. Here’s what you need to do to prevent claim edit denials and keep the revenue stream flowing. Know Your ...