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  • Casual Articles - 10 Steps towards Efficient Medical Electronic Billing Claims Submission

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    liant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
  • Make sure you
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    Electronic billing is not that easy as you might think. But there is always a good training, practice and ways to efficiently maximize the use of electronic billing submission. There are many advantages why medical providers must submit claims by electronic. One is because the processing and reimbursement time is at least within 72 hours compared to a paper billing that may take up to 3 weeks. Electronic submission reduces errors and lost of claims by 98%. Transmission is fully encrypted and compliant with HIPAA rules and guidelines.

    I would like to point out 10 Steps for Efficient Medical Electronic Billing Claims Submission:

    1. Assuming you have the Medical Billing System in your office, next step is to sign up with a clearinghouse with a reasonable monthly flat fee regardless how many and how much claims you can submit and resubmit. Make sure you do not pay any other fees on top of the flat fee. The clearing house must be fully compliant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
    2. Make sure you h
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      ms by electronic. One is because the processing and reimbursement time is at least within 72 hours compared to a paper billing that may take up to 3 weeks. Electronic submission reduces errors and lost of claims by 98%. Transmission is fully encrypted and compliant with HIPAA rules and guidelines.

      I would like to point out 10 Steps for Efficient Medical Electronic Billing Claims Submission:

      1. Assuming you have the Medical Billing System in your office, next step is to sign up with a clearinghouse with a reasonable monthly flat fee regardless how many and how much claims you can submit and resubmit. Make sure you do not pay any other fees on top of the flat fee. The clearing house must be fully compliant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
      2. Make sure you
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        encrypted and compliant with HIPAA rules and guidelines.

        I would like to point out 10 Steps for Efficient Medical Electronic Billing Claims Submission:

        1. Assuming you have the Medical Billing System in your office, next step is to sign up with a clearinghouse with a reasonable monthly flat fee regardless how many and how much claims you can submit and resubmit. Make sure you do not pay any other fees on top of the flat fee. The clearing house must be fully compliant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
        2. Make sure you
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          p is to sign up with a clearinghouse with a reasonable monthly flat fee regardless how many and how much claims you can submit and resubmit. Make sure you do not pay any other fees on top of the flat fee. The clearing house must be fully compliant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
        3. Make sure you
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          liant with HIPAA. There are many available vendors out there. You can submit claims through web-based solution or through a modem directly you’re your computer. I will talk about this on the later part of this article.
        4. Make sure you have all the list of payors’ number with the insurances you bill and participate with. This payor number will identify where your claims will go based on the patient’s insurance information. Your tax number should also be in your billing system
        5. By entering your patient’s information. One information that you have to be careful is the patient’s insurance ID number. I strongly suggest to input the number as is without any other characters other than alphanumeric characters. In other words, avoid using an asterisk and dashes on this field.
        6. Make sure you have obtained prior authorization or you have verified coverage for the patient for that date of service
        7. Avoid using outdated ICD and CPT codes. Make sure your diagnosis codes (primary or secondary or tertiary) does not require a 5th digit.
        8. Make sure you use proper modifiers. Nowadays, electronic billing systems are intelligent enough to pick up errors. Normally non-numeric

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