In this blog, we will go over the basics of health insurance and how to research where to go for out-of network care. As well as ways to communicate with your insurer that this out-of-network care is necessary and request that they should cover it.
Protecting information is crucial to the continuity of Department of Defense (DoD) missions. CMMC verifies safeguarding of nonpublic information within the defense industrial base (DIB).
In this blog, we will go over the basics of health insurance and how to research where to go for out-of network care. As well as ways to communicate with your insurer that this out-of-network care is necessary and request that they should cover it.
As an organization that has over 25 years of experience helping organizations streamline their revenue cycle, we’ve started to notice a bit of a pattern. Some denial reasons peak their head out more than others. So let’s discuss the top 11 most common examples of claim denials.
In the modern revenue cycle process, there are two main types of claims; 835s and 837s. To put it simply, these file types are essentially the bill and the receipt. But, there is more minutiae involved. Let’s take a deeper look at these types of healthcare claims.
Billing isn’t as simple as submitting a claim to a patient’s insurance payer, the payer reviewing the document, and you get paid. If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?” Let's find out.
There are several common mistakes providers make when submitting their claims. Below are eight overarching common issues with claims resulting in clearinghouse rejection codes.
If you can account for claim delays before they happen and manage to be aware of a claim’s status through the submission and reimbursement processes, you’ll save both time and money. Here are our tips on how to know if your claim was approved are here.
What if I told you that claim rejections exist to make your life easier? You read that right. They’re one of the most helpful steps involved with the entire medical billing process.