In Audit
Jul 24th, 2019
AAPC’s Regional Conference in New York City (Aug. 19-21) is a must for anyone who works in the business of healthcare such as medical coders, billers, and auditors. There will be opportunities galore for education, networking, vendor resources – all at a venue that can’t be beat. This year’s lineup of speakers includes Marianne Durling, ...
In Billing
Feb 5th, 2019
Coding clean-up crew lays the groundwork to improve healthcare reimbursement through denial management. In large healthcare business offices, medical billers and coders are often in separate departments, with separate leadership. Although the medical billers are largely responsible for denial management, they often don’t have the necessary coding expertise required to properly work coding denials. ...
In Billing
Aug 9th, 2018
With diligence and quick follow-through, you can recoup payments rightfully due to providers. Managing payer denials is key to proper reimbursement. The lack of appropriate and timely claim follow-up can cost even the most successful practice significant revenue. Although appeals take time and effort, the recoupment of lost payments makes the process profitable. Rejection and ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
In Billing
Sep 10th, 2015
by Linda Martien, CPC, CPC-H, CPMA Denial management can encompass any aspect of the revenue cycle that may result in no or low reimbursement. The reasons for the denials can include: incomplete or inaccurate insurance information; lack of pre-certification or prior authorization; not capturing all of the tests or procedures; diagnoses and procedure coding errors or ...