Aug 8, 2011 | Medical billing basics
Our benefit plans are subject to subrogation and coordination of benefits (COB) rules. 1. Subrogation — To the extent permitted under applicable law and the applicable benefit plan, we reserve the right to recover benefits paid for a member’s health care services...
Aug 7, 2011 | Medical billing basics
Medical billing frauds are mostly related to medical insurances. In the US, such frauds may pertain to Medicare and Medicaid. Many people connected to health care sector may be involved in such frauds. The list of possible fraudsters includes beneficiaries, billing...
Aug 5, 2011 | Medical billing basics
Categories include: Transportation Services Including Ambulance A0021 – A0999 Medical and Surgical Supplies A4206 – A7509 Administrative, Miscellaneous and Investigational A9150 – A9901 Enteral and Parenteral Therapy B4034- B9999 Temporary codes for...
Aug 3, 2011 | Medical billing basics
Overpayments If you identify a claim for which you were overpaid by us, or if we inform you in writing or electronically of an overpaid claim that you do not dispute, you must send us the overpayment within thirty (30) calendar days (or as required by law),...
Jul 30, 2011 | Medical billing basics
Medical billing is crucial part of any health care facility even though it is not the main line of activity in such workplaces. There are many time consuming issues related to medical billing. Medical professionals are often overworked, and may not have time to attend...
Jul 27, 2011 | Medical billing basics
Complete claims For proper payment and application of deductibles and coinsurance, it is important to accurately code all diagnoses and services (according to national coding guidelines). It is particularly important to accurately code because a member’s...
