Compliance with Medicare is one of the most important challenges associated with medical billing. Using the right Medicare modifiers is essential for timely and accurate reimbursement. When submitting claims to Medicare it is necessary to show whether the patient was...
In the US, hospitals are paying huge fines for improper billing. According to a press release from the U.S. Attorney’s Office in Vermont, a hospital paid over $550,000 to the federal government in settlements over claims that six neurologists overbilled the Medicare...
Nothing can be more frustrating for a medical practice than claim denial. Knowing why claims are denied is important to prevent it from happening. Incorrect demographic information: The patient’s name is spelled incorrectly, the subscriber number or referral number is...
Delayed, underpaid and denied claims are problems commonly faced by many healthcare practices. With reliable AR management from a reputable healthcare BPO company, these problems can be effectively resolved. The company’s medical billing staff would have the...
According to a University of Minnesota Professor of Health Finance and Insurance, a maximum of 40 percent of claims between hospitals and doctors (or other providers) and insurance companies (or other payers) have errors in them. Another no less disheartening fact is...
