Year: 2022

MUE Facts That Will Help You Avoid Denials
02 Dec 22

MUE Facts That Will Help You Avoid Denials

Introduction Most healthcare providers are aware of the Medicare edits that can make it more difficult to get paid on claims. However, there’s a type of edit that’s not as well-known: MUEs, or Medicare Unique Edit Values. These codes indicate whether or not a particular service is UCR-related, meaning that…
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Overview
12 Nov 22

Internal Review – Overview

Introduction WWS’s internal review process helps us ensure high-quality coding and billing. We work with providers to ensure that their claims are as accurate as possible, which is why we recommend a 30-day Internal Review (IR) for all claims. The IR process uses the same methodologies used in an External…
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Overview
12 Nov 22

Essential Components Of The Medical Billing Workflow

Introduction As we speak of better and more efficient medical billing in healthcare, managing and moving patients through every visit while assembling data for the submission of claims and collecting the outstanding balances of patients, the components of the medical billing workflow work precisely its duty. Promote Patient Engagement ● …
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05 Nov 22

Claim Adjudication Process

Introduction The adjudication process is also sometimes referred to as the claims management process, but it is important to note that they are different processes. In this article, we will explore what the difference between them is, what steps you can expect when you submit a claim through your insurance…
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WHY-IS-DAYS-IN-AR-IMPORTANT
29 Oct 22

WHY ARE DAYS IN AR IMPORTANT

Introduction Days in AR is a very important concept. It explains the impact of delayed payments on cash flow and measures the amount of time between payment being due and when it clears your bank account. The concept is primarily used to evaluate a practice’s financial health. A high days-in-AR…
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16 Sep 22

How to Use Modifier 25 Correctly

Introduction Modifier 25 is a critical part of the Medicare program, but it can be difficult to understand and use correctly. In this post, I’ll explain what Modifier 25 does, why it’s needed, and how to use it properly. If a patient comes in for a preventive visit and the…
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