Aug 21, 2008 | Medical billing basics
The first process – Enrollment process Provider Enrollment is the crux of a proper billing setup. Before we send claims to insurance companies, we should ensure that all provider (doctors) are enrolled with the respective carriers, all providers are contracted....
Aug 21, 2008 | Medical billing basics
What is WC WORKERS COMPENSATION is a requirement of the federal government for employers of patients who are injured or become sick on the job. It is operated by various plans chosen by the employer or can be operated by state governments. There is a Bureau of Workers...
Aug 20, 2008 | Medical billing basics
HMO and PPO – Insurance Type Managed Care Plans are operated by private companies, which act as the payer. Examples are Prudential Health Care (an HMO) and Independent Health (a PPO). Physicians sign a contract with a managed care plan to accept the plan’s fee...
Aug 17, 2008 | Medical billing basics
State Insurace Medicaid – An operations studyMedicaid is a federal and state plan, operated by the states, which is an entitlement program under the Social Security Administration of the federal government for patients whose income and resources are insufficient to...
Aug 17, 2008 | Medical billing basics
Experience: 0 – 3 YearsLocation: ChennaiCompensation: As per company standardEducation: UG – Any Graduate – Any Specialization PG – Post GraduationJob Description*Candidate should be an Medical Billing specialist with sound knowledge of...
Aug 16, 2008 | Medical billing basics
Know about Medicare – Part 3 Medicare Appeals ProcessAppealAfter a claim is processed, Medicare sends the EOBs to the providers determining payment or denial. If the provider feels that the denial or payment is incorrect, a request can be made for review of a...
Aug 13, 2008 | Medical billing basics
Know about Medicare Part 2 Medicare Deductibles Deductible is a pre-determined amount that the beneficiary should pay before the medical benefits come into force. The Part A annual deductible is $776 per benefit period. A benefit period is the period beginning with...
Aug 12, 2008 | Medical billing basics
Know about Medicare part 1 Medicare – An operations studyMedicare is a federal plan which is an entitlement program administered by CMS (Health Care Financing Administration) for patients over age 65 years, certain disabled individuals, and those with end-stage renal...
Aug 9, 2008 | Medical billing basics
Experience: 1 – 3 YearsLocation: ChennaiCompensation: Bonus planEducation: UG – Any Graduate – Any Specialization PG – Post Graduation Not RequiredJob Description *Candidate should be an Medical Billing specialist with sound knowledge of...
Aug 9, 2008 | Medical billing basics
Coding Terms IntroductionWithout the present coding system adopted for reporting procedures and diagnosis, both the providers and the payers (insurance carriers) would find it difficult to process and make payment since understanding of the description by the claims...
