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Casual Articles - Tracking Your Medical Claims Reimbursement
Your website is up and running, you have great looking pages, terrific copy, great product or service, the SEO gods have smiled upon you, gigs of bandwidth traffic. A lot of sweat and hard work went into setting up your site
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding.
How many times have you recommended a service or a product to a friend, colleague or family member?If you are like me then it would have been Once, twice, or three, times.The fact is that if you are satisfied with
Look at the following scenario:
(1) 100% or Full Reimbursement is definitely NOT a good sign! The insurance could have reimbursed you below the maximum based on your fee schedule. The worst scenario would be, you are perhaps charging the insurance lesser or lower than what they are willing to pay on maximum. Do you have your fee schedule? If no, you must request this from the insurance companies that you are contracted with. Always review your contracts.
(2) The EOB shows NO PAYMENT is most likely due to Coding Issues or Non-Coverage of the patient. Make sure you use the proper codes. Be careful with outdated codes. Always discuss coding solution rather than more on what you want to get reimbursed. Consider lack of documentations. Many insurance companies require attached documentations to support medical necessity on each claim submitted. Consider Workman’s Comp or Auto Accident Cases. Managed Care Patients.
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding.
In the quest to increase results from marketing, companies tend to focus on tactics. They worry about creating a better brochure, upgrading the website, or running a new ad campaign. However, often the greatest leaps in marketi
(1) 100% or Full Reimbursement is definitely NOT a good sign! The insurance could have reimbursed you below the maximum based on your fee schedule. The worst scenario would be, you are perhaps charging the insurance lesser or lower than what they are willing to pay on maximum. Do you have your fee schedule? If no, you must request this from the insurance companies that you are contracted with. Always review your contracts.
(2) The EOB shows NO PAYMENT is most likely due to Coding Issues or Non-Coverage of the patient. Make sure you use the proper codes. Be careful with outdated codes. Always discuss coding solution rather than more on what you want to get reimbursed. Consider lack of documentations. Many insurance companies require attached documentations to support medical necessity on each claim submitted. Consider Workman’s Comp or Auto Accident Cases. Managed Care Patients.
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding.
Do you want to give good customer service and do you want to make sure that the message you send out to your target market and potential customers is a simple message and one they can understand. Many people believe and I beli
(2) The EOB shows NO PAYMENT is most likely due to Coding Issues or Non-Coverage of the patient. Make sure you use the proper codes. Be careful with outdated codes. Always discuss coding solution rather than more on what you want to get reimbursed. Consider lack of documentations. Many insurance companies require attached documentations to support medical necessity on each claim submitted. Consider Workman’s Comp or Auto Accident Cases. Managed Care Patients.
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding.
Do you know the difference between which prospect you’ll close and which one you’ll lose?How can you tell, midway through a sale, whether you’re on track for success or you’ve lost the deal?How can you tell, in ad
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding.
Tips for your Job SearchIn the old days, finding a job was easy. All you had to do was get your hands on a flint-tipped spear and skewer a few mastodons and you were considered gainfully employed. The only headhunters we
(3) The EOB shows “reduced rate” payment. You must suspect that this might be due to improper coding. There might be one or more procedure code lines. Many procedures also require codes for drugs, radiology to be coded separately. Proper use of modifier is also an issue. Use of place of service POS code 11 or such as 22. Most insurance company pays lesser if the procedure is done in an outpatient hospital than in the office. Limitations on number of frequency per day might also be the reason for reduced rates. Non-Authorization is also a possible cause. Be careful with unbundling codes and mutually exclusive procedure codes.
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