Nov 16, 2008 | Medical billing basics
Denial – Incorrect diagnosis or Required Modifier not billied” As per Medicare newsletters “Incorrect Diagnosis” and “Required Modifier Not Billed” accounted for a large percentage of the provider/supplier billing errors. Lab...
Nov 12, 2008 | Medical billing basics
Patient calling – step by step guide Seven Steps To A Successful Collection Phone Call A successful collector is very much aware of and trained in the following seven steps for a successful collection phone call. Step 1: Identify the person you are calling“...
Oct 29, 2008 | Medical billing basics
Insurance calling – step by step for paid claims If A/R caller receive this answer, then the following details needs to be obtained from the insurance representative,1. What is the amount paid towards the claim?2. What is the check#?3. What is the check date?4....
Oct 24, 2008 | Medical billing basics
Insurance calling – step by step for denied claims If A/R caller receive this answer, then the following information needs to be obtained from the insurance representative, 1. What is the denial date of the claim?2. What is the reason for the denial?3. Check...
Oct 21, 2008 | Medical billing basics
Insurance calling – step by step for claims under process If A/R caller receive this answer, then they have to throw the following questions,1. When did they receive the claim?2. How long it takes for process?3. What is the normal processing time for the...
Oct 20, 2008 | Medical billing basics
How to call insurance The Night caller or AR caller (India) will call the insurance companies based on the patient accounts given by the Analyst (If it is in India, In US both persons are same). Caller will documents the telecom conversion in those respective patient...
Oct 3, 2008 | Medical billing basics
The most confused denial – CO 16 Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice. When ever you received this denial please see the additional code for which will descripe what the info...
Sep 28, 2008 | Medical billing basics
Everything you should know about National Provider Identifier (NPI)?Today everything and everywherr is NPI.The NPI is a 10-position numeric identifier (10-digit number). The number is “intelligence-free, meaning it does not carry other information about...
Sep 27, 2008 | Medical billing basics
Action – CO 31 Claim denied as patient cannot be identified as our insuredDescription – (PATIENT’S HIC# NONENTITLED. SUBMIT A NEW CLAIM WITH VALID HIC#.) Tips and Resources • Ensure you have a copy of the patient’s most recently issued Medicare card...
Sep 25, 2008 | Medical billing basics
Action – Denied as – CO B9 Services are not covered because the patient is enrolled in a hospice. Description: (THESE SERVICES ARE DENIED BECAUSE THE PATIENT IS IN A HOSPICE)Tips / ResourcesThere are specific guidelines pertaining to Medicare hospice...
