July 2018 - Wonder Worth Solutions

Simple Steps to Appeal a Medical Necessity Denial Claims

July 30, 2018
Martin Jacob
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Insurance companies provide coverage for care, items, and services that they deem to be “medically necessary”. Medical necessity is one of the most common reasons that insurers deny behavioral health claims. It is possible to get this type of denial overturned, but to do so; there are a few essential steps to…

25 Jul 18

Strategies to Mitigate Cyber Security Risks Of Your Practice

Cyber security is vital for businesses in every sector today. However, it’s particularly important for those in the healthcare sector. There are several reasons why businesses in this arena can’t afford to put off cyber security measures and why tomorrow may be too late to do what you should have…

July 23, 2018
Martin Jacob
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The DME industry, as we know it today, has been around for about 40 years. It is a young industry. For the first 30 years of its existence, there was little government oversight on the DME industry. This has changed. Today, the DME industry is caught in a “perfect storm”.…

18 Jul 18

Benefits of Mobile Technology: Financial Defense for Going Mobile

Mobile Technology has been one of those trends that have taken the business world by storm. Mobile device penetration has been rapid and monumental. In an industry facing reimbursement cuts, ever-evolving regulations and increased customer demand, DME executives are constantly searching for ways to streamline workflow and improve revenue. In…

16 Jul 18

Why Medical Practitioners Need To Manage Cash flow Monthly?

Medical practice is one of the most challenging types of businesses to manage cash flow. When a patient books an appointment, it’s very difficult to predict with certainty how much revenue that booking will generate when the practice will get paid and what percentage of the amount owed will eventually be written…

11 Jul 18

Medical Practice: How to Run Value-based Care Analytics Reports?

As we move further into value-based care, the analytics and reporting segments of EHR will play an ever-larger role in collecting and analyzing data. Analysis and correct interpretation of reports give providers actionable choices for improving quality of care and remaining compliant while boosting revenue as they grow their practices. However, depending…

09 Jul 18

6 Ways to Reduce a RAC Audit Risks

RAC Audit, as physicians know, are part of the government’s program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid. Many providers are aware that CMS has increased its RAC audits and commercial payers are also taking a closer look at billing and coding usage.…

06 Jul 18

Telemedicine Challenges and the Future of Healthcare

Telemedicine refers specifically to processes and secure technology used to provide clinical services and care to patients such as evaluation, diagnosis, treatment, care follow-up, chronic condition and medication management, specialty consultations with direct communication between a provider and patient via the Internet or other communication portal taking the place of an…

July 3, 2018
Martin Jacob
No Comments

What is Clean Claims? A clean claims has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment. A provider submits a clean claim by providing the required data elements on the standard claims forms, along with any attachments and additional elements, or revisions to data elements,…

Month: July 2018

Simple Steps to Appeal a Medical Necessity Denial Claims

Strategies to Mitigate Cyber Security Risks Of Your Practice

DME Industry: The Counter to Reimbursement Cuts

Benefits of Mobile Technology: Financial Defense for Going Mobile

Why Medical Practitioners Need To Manage Cash flow Monthly?

Medical Practice: How to Run Value-based Care Analytics Reports?

6 Ways to Reduce a RAC Audit Risks

Telemedicine Challenges and the Future of Healthcare

Steps to Achieve Clean Claims Submission Ratio

Collaborative Approaches: Fostering Communication Between Payers and Providers for Denial Resolution

Embracing the future: Anticipating and overcoming denial management challenges

The Ultimate Guide to DME Credentialing and Insurance Contracting for Ancillary Providers

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