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Six vital steps comprise the life cycle of Medical Claim

November 13, 2017
Martin Jacob
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Although reimbursement is a vital aspect within a claim’s life cycle, it is certainly not the only vital piece. It is important to recognise and distinguish each stage from the other within the total life cycle of a medical claim to decrease errors and cost. Most of the people believe…

November 6, 2017
Martin Jacob
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Have you ever walked into the pharmacy and been told that your prescription requires a prior authorisation, but your doctor prescribed something for you, and you brought in your prescription, shouldn’t that be enough? What exactly is a prior authorisation, and why can’t you just pick up your prescription? Your…

30 Oct 17

How Patient Payment Reminder technology can help Providers get paid?

More than half of Americans delay paying medical bills, according to a new revenue cycle report by West, and that is putting additional financial stress on the healthcare industry. In the past, providers received 90 percent of their reimbursement from insurance companies, but with the rise of high-deductible health plans, nearly a…

October 23, 2017
Martin Jacob
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The Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Hospitalist. The new code for Hospitalist is C6. Effective April 1, 2017, a new physician specialty code for hospitalist will be. The new physician specialty code C6 has been designated for hospitalist. The new…

October 16, 2017
Martin Jacob
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Medicare provides a vital foundation for the health and wellness of Americans who are 65 or older or have significant disabilities. The program currently covers a portion of health care costs for over 47 million individuals throughout the United States. Although Medicare has been a trusted health organization for almost…

October 9, 2017
Martin Jacob
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Today, The Centers for Medicare & Medicaid Services (CMS) gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly-assigned number that replaces the current Social Security-based number. New Medicare Card Design CMS will begin mailing the new cards to people…

October 2, 2017
Martin Jacob
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The two things providers hate when it comes to healthcare? High deductibles and patient refunds. Coincidentally, the two can play off each other. Deductibles are higher than ever and providers are trying to collect as much money up front as possible. So it’s not a bad problem to have. What…

September 27, 2017
Martin Jacob
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ICD-10 accuracy codes reflect how medical practices treat their patients. Incorrect coding can lead to denied claims that hurt healthcare providers’ revenue streams. Unfortunately, sometimes when all the coding is done correctly, healthcare payers may not be able to hold up their end of the deal. ICD-10 accuracy codes reflect how medical…

September 20, 2017
Martin Jacob
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Today, In the billing process the revenue cycle management is one of the most important functions for orthopedic practices. With proper billing, revenue will continue to come in with minimal delays minimizing stress and cash flow issues. When it comes to orthopedic billing, practices need to keep several important things in…

September 12, 2017
Martin Jacob
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A biller’s most important task is to send ‘clean’ claims to Medicare and Medicaid. Though both are high volume payers, they perform differently in the US healthcare system. In 1965, Medicare (a federal healthcare program) was created to target persons over 65 and those under 65 with certain disabilities. It is…

Six vital steps comprise the life cycle of Medical Claim

Why do some Prescription drugs require Prior Authorisation?

How Patient Payment Reminder technology can help Providers get paid?

CMS Established New Medicare Speciality code for Hospitalist

Medicare Beneficiaries catching up with High Out-of-Pocket Costs

CMS Reveals New Medicare Card Design

How to deal with patient refunds at your Medical Practice?

Why ICD-10 accuracy codes important more now than ever?

Medical Billing and Coding Tips For Occupied Orthopedic Practices

Improve your Medicare billing process and prevent errors with these Do’s and Don’ts

The Role of Technology in DME Claims Management

5 Most Common DME Claim Denials and How to Fix Them

The True Cost of Claim Denials for DME Providers—And How to Avoid Them

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