Top 7 Claim Denials
The best way to keep your income stream flowing properly is to prevent claim denials. Read below for the top 7 denial reason codes and prepare a strategy to keep them to a minimum in your practice. By utilizing an advanced Medical Practice Management Billing Software like Iridium Suite from Medical Business Systems, many of these types of denials will …
Medicare Prepayment Review of E and M Services
Evaluation and Management services are the most commonly provided service and the most likely to be subject to miss-coding. To read more visit our Biller's Blog.
Medicare Prepayment Review of E and M Services
TheCMS Medicare Administrative Contractor (MAC), Palmetto GBA recently published the results from prepayment reviews of Evaluation and Management codes 99204 and 99205. Evaluation and Management services are the most commonly provided service and the most likely to be subject to miss-coding. CMS and individual MAC’s have published numerous guides, fact sheets and even an interactive coding tool to assist providers …
National Minority Donor Awareness Week
August 1, starts National Minority Donor Awareness Week, to increase awareness of the need for more organ, eye, and tissue donors, especially among minorities. 56% of those persons on the donor waiting list are minorities. To read more visit our Biller's Blog.
How to Appeal a Medicare Denial
If you have received a claim denial from your Medicare contractor you do have the right to submit an appeal. If you do not take assignment on the claim, your appeal rights can be limited. To read more visit our Biller's Blog.
National Minority Donor Awareness Week Begins Today
Today, August 1, starts National Minority Donor Awareness Week, to increase awareness of the need for more organ, eye, and tissue donors, especially among minorities. 56% of those persons on the donor waiting list are minorities. One organ donor can save 8 lives and a tissue donor impacts up to 50 lives. Someone is added to the waiting list every …
How to Appeal a Medicare Denial
If you have received a claim denial from your Medicare contractor you do have the right to submit an appeal. If you do not take assignment on the claim, your appeal rights can be limited. See section at the bottom on Clerical Reopening when an appeal is not indicated. First level of appeal: Redetermination A redetermination is an examination …
“Incident to… “What Does That Mean?
An incident to service or supply is a service or supply not covered in one of the other benefit categories. To read more visit our Biller's Blog.
“Incident to”….What Does That Mean?
Many terms used in the “rules” for medical billing seem like they belong more in a law book, than a billing guide. That is how I start to feel when reading about billing “Services and Supplies Furnished Incident to a Physician’s/NPP’s Professional Service.” For my enlightenment and hopefully yours, I have attempted to glean the basics from about 10 pages …
