Tag Archives: outsourced medical billing

10 Tips to Reduce Claim Rejections

A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be corrected. A rejected claim may be the … Continue reading

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Have Your Patients Got New MBI (Medicare Beneficiary Identifier)?

The Centers for Medicare & Medicaid Services (CMS) is mailing the new Medicare cards with the MBI in phases by geographic location. There are 3 ways you and your office staff can get MBIs: Ask your Medicare patients: Ask your … Continue reading

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3 ways for health care providers to get patients’ MBIs

Medicare has come up with new revelation this time. It is taking steps to remove Social Security numbers from Medicare cards. The initiative from Medicare, the Centers for Medicare & Medicaid Services will help prevent the fraud, fight identity theft … Continue reading

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2019 NCCI update impact on medical billing and coding

NCCI – National Correct Coding Initiative promotes the correct coding methodologies. Furthermore, it controls inappropriate coding leading to wrong payments in Part B claims. The CMS annually updates the National Correct Coding Initiative Coding Policy Manual for Medicare Services. The … Continue reading

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Are you Constantly Receiving Denial Code CO-197?

What is Pre Authorization? Most of the carriers request to obtain prior authorization from them before the service/surgery.  Prior authorization for health care services is required for certain services. If authorization is not obtained prior to performing the service, the … Continue reading

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Benefits of Outsourcing HCC Coding Service Activities

HCC coding also we known as Hierarchical Condition Category coding is the important key element which decides the reimbursement benefits for a Medicare Advantage Plan that uses ICD diagnostic codes as the primary indicators of the member’s health status. Correct … Continue reading

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How to Select Perfect Clearinghouse for your Medical Practice?

The clearinghouse you work with has a huge impact on your business. The more efficiently your clearinghouse processes and returns your information, the faster you will get paid, and the more payments you will collect. We came up with five … Continue reading

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