In Billing
Jun 25th, 2018
Clearing houses affect revenue flow through denials. Understanding them and their processes helps you speed your re-submissions. After a claim file is sent to the clearinghouse, an edit report is sent back to the practice, indicating claims and charge lines rejected with various edit problems. If the details in these edit reports are not attended ...
Apr 1st, 2013
By Julie Bos, CPC I have experienced all types of office settings, from very large billing services to a one-physician practice, and the same problems confront them all. It’s always the easy money—the low-hanging fruit—that gets attention, while the rest seems to be left to rot on the tree. I believe that a provider deserves ...
In Billing
Apr 25th, 2012
By Nancy Clark, CPC, CPC-I Even though it seems at times that claims processing is as easy as “pushing a button”, many claims are denied. How do you resubmit your claims with the best chance of success? Carefully examine the denied claim for potential errors. Verify there are no mistakes in the original submission. You ...