The importance of a good medical claim scrubber
Coding claims is tricky. Radiation oncology is especially difficult because of the planning and staging processes that occur prior to treatment.
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Medical Billing Blog
425 articles on medical billing, coding, Medicare rules and practice management, written by the people who build Iridium Suite, since 2010.
How do insurance companies process medical claims?
COMPATIBILITY IS THE NAME OF THE GAME IN INSURANCE BILLING Have you ever wondered what happens to your claim once it has been sent, either electronically or by mail?
Billing Claims to Secondary Insurers
After those payments come in from primary health insurers, it is imperative to have a reliable system for billing secondary insurers. Staying on track with sending secondary claims can be a challenge.
EHR Reimbursement Deadline Rapidly Approaching
Through the course of time, we have seen advancements in electronic claim submission, responses, and reimbursements. Now comes Electronic Health Records (EHR).
HIPAA Medical Billing - 5010 and ICD-10
The Health Insurance Portability and Accountability Act (HIPAA) establishes national standards for electronic health care transactions.
ICD-10 Compliance and Medical Billing
ICD-10 is the acronym for the International Statistical Classification of Diseases and Related Health Problems, 10th Revision.
5010 – The New Health Care Electronic Transactions Standard
What is 5010? 5010 is an abbreviated way to reference Version 005010 of the Accredited Standards Committee (ASC) X12 Technical Reports Type 3 (TR3s).
Getting Patients to Pay
There are many patient collection styles in the medical industry, ranging from passive to extremely aggressive.
Getting Your Claims Off The Ground
In almost all businesses that carry accounts receivables, there is an ongoing, continual problem with slow-pay and non-pay customers.
Establishing Rapport With Insurance Customer Service Representatives
Facing the required phone calls often necessary to insurance companies may be the worst part of the day for medical office staff. It is time-consuming and can be very frustrating at times.
Primary Care Teams For Medicare Beneficiaries At Home
New legislation authorized by Section 3024 of the Affordable Care Act will bring primary care teams into the homes of certain Medicare beneficiaries.
All Aboard For EDI & Coding Changes
New health care electronic transaction standardized requirements are coming up fast. Testing for the new 5010 version of data interchange and ICD-10 Level II compliance begins January 1, 2011.
Suspension of Updates to ICD-9 Coding
The new 5010 version of data interchange and ICD-10 Level II being tested and implemented by Medicare and Medicaid has caused the ICD-9-CM Coordination & Maintenance Committee to partially…
Submitting A Clean Claim
What is this exactly? Technically speaking, it is the process of submitting fees for medical services to private, commercial, and government insurers for payment of such services, by completing a…
Filing an Appeal or Reconsideration
Understanding a denial from an insurance company is an important step in knowing how to file an appeal or reconsideration.
Is Medicare Worth It?
The American Medical Association is lobbying Congress hard and fast against the Medicare proposal of 23% cuts on December 1, 2010. This is an across-the-board cut that affects everyone.
The Cure for Disorganization Syndrome
Does this sound familiar; your desk looks like a doctor’s, your computer screen is bordered in sticky notes like a picture frame or completely covered like the picture above, and your computer…