Tips on how to appeal on denied claims
Getting reimbursed for services rendered should be the least of worries for a healthcare provider. Unfortunately, claims are denied often and for various reasons. Luckily, providers can get insurance payers to reverse their decisions. Under the affordable care act, providers have the right to appeal denied and get 6 months to appeal any denials. Insurance […]
The three enrollment E’s | EDI, ERA & EFT
A large number of cases related to a delay in reimbursement, and claim denials owe to incorrect enrollment. When we on-board your practice, we make sure your three E’s are set up just right. EDI (ELECTRONIC DATA INTERCHANGE) EDI (Electronic Data Interchange) makes the journey of your medical claim to the payer’s system seamless. There […]
3 ways to prevent denied claims
For healthcare facilities, denied claims are a constant threat to the businesses’ bottom line. This is especially true for practices that rely on a constant inflow of revenue from claim reimbursements. An increase in the number of denials burden the revenue cycle, the negative effects further compounded by additional workload and inability to generate more […]
Some basics of laboratory billing for you to know
The field of laboratory medical billing is unlike physicians, hospitals, or DME billing specialties. It is centered on a very specific set of CPT codes. The codes used by a lab includes services that are used to evaluate specimens obtained from a patient sample. It won’t be wrong to say that labs run labs. And, […]