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 ...
Part 5: Put it all together: reports and analytics. By Linda Martien, CPC, COC, CPMA The complexities of medical insurance, including the way services are billed and collected, work against quick payment. But, as we’ll explore, you can affect the extent to which you are paid in full from patients and providers, thereby reducing accounts ...
In Coding
Jul 9th, 2014
By Doug Arrington, MSN, FNP, CPC, CPC-H, CPMA, CHC, CHRC The other day I was in the clinic talking with the management staff. They were so relieved that there was another year before ICD-10 was going to be implemented. They all thought that they could put everything on hold for 10 or so months. As ...