Effective claims follow-up with insurance refers to the process of ensuring that claims for medical services are properly submitted, tracked, and resolved in a timely manner. This includes submitting claims as soon as possible after services are rendered, using the correct ICD-10 and CPT codes, adhering to billing regulations and guidelines, following up on denied or unpaid … [Read more...] about Key things to consider for effective follow-up with insurance for medical claims
Medical Billing Process
Key strategies to improve the outcome of independent dispute resolution (IDR)
Independent dispute resolution (IDR) can be used as a method to resolve out-of-network payments in surprise billing. IDR can help to bring a neutral third party to the negotiation process, which can help to bring about a fair resolution for both the patient and the healthcare provider. IDR is a process in which a neutral third party, such as a mediator or arbitrator, helps … [Read more...] about Key strategies to improve the outcome of independent dispute resolution (IDR)
What Do You Need To Know About Wound Care Coding?
Many family doctors give wound care to nursing home patients. Proper coding and billing for such wound care are critical to ensuring adequate payment and avoiding potential claims of fraud or abuse. Determining when to describe chemical cauterization of granulation tissue vs debridement is one of the issues in this area, particularly for Medicare patients. The wound care … [Read more...] about What Do You Need To Know About Wound Care Coding?
What Do You Need To Know About Outpatient Facility Setting?
Medical coding is the basic step in the medical billing process. It entails assigning standardized codes to medical diagnoses and procedures. Knowing the thousands of ICD-10 and CPT codes to notify the correct codes for the services provided is one of the most difficult challenges for healthcare organizations. Coding is used for various purposes, including obtaining and … [Read more...] about What Do You Need To Know About Outpatient Facility Setting?
Guidelines For E&M Codes
Congress developed E/M standards and recommendations in 1995 and amended them in 1997.E&M is the abbreviation of evaluation and management codes. E/M coding is the process of converting physician-patient encounters into five-digit CPT codes to enable billing. This coding scheme involves using CPT codes ranging from 99202 to 99499 to reflect services rendered by a physician … [Read more...] about Guidelines For E&M Codes
