Martin Jacob

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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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15 Sep 22

HCPCS Common Coding Questions

Introduction The Healthcare Common Procedural Coding System (HCPCS) is a system to classify items, supplies, and services used in health care. The United States Department of Health and Human Services specifies the codes that are included in the HCPCS. There are three levels of codes: Level I, Level II, and…
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26 Aug 22

Are You Chasing Your Revenue

Introduction Your practice’s revenue cycle management is the process of collecting, tracking, and reporting on your payments from patients and payers. If you’re not collecting 100 percent of your revenue, it’s not only costing you money—it’s also hurting your reputation with patients who may decide to go elsewhere when they…
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