Category: All

How to File a Medicare Claim That’s Accepted the First Time

Medicare Claim

Even though 15% of the population in the U.S. are enrolled in Medicare, many medical billers are still having a hard time figuring out how to successfully file a Medicare claim. There are a lot of details to keep track of, and if you don’t, it is very easy for your claim to be rejected.

The Top 5 Medical Claim Denial Codes for Home Health

medical claims rejections

There is no doubt that medical billing reviews are frustrating. They plague every healthcare agency, especially those who have yet to develop a thorough processing system. In fact, nearly 10% of all medical claims submitted by home health agencies are denied. That is a lot of money and a loss you cannot afford to have.

4 Signs There is a Gap in Your Home Health Medical Billing Process

medical billing process

Every health provider experiences issues with medical billing errors. Home health companies have their own set of requirements when it comes to accurately billing for the patients they see, and the slew of different codes involved can cause of a lot of confusion. Just a few inaccuracies can result in thousands of dollars either being

What You Need to Know About the Possible Pre-Claim Review Process

If you have not heard yet, The Center for Medicare & Medicaid Services (CMS) is considering bringing back the pre-claim review process for Medicare claims in home health care that had been previously paused in 2017. This program has been controversial in the past, but it has also been recognized as something that is necessary

4 Home Health Billing Basics Every Agency Owner Should Know

home health billing basics

Medical billing can be intimidating to those who are just beginning their careers in home health. The most important thing is to make sure you have all of the information you need to carry out the billing process and that claims are processed adequately per ‘payer’ or insurance provider.  In this article, we will delve

No More Denials! The Secret to Successfully Processing Claims

processing claims

There is no denying that you need to stay on top of processing claims to ensure that your business is being adequately reimbursed. Yet, claim management has the tendency to be tricky. In fact, one in every 10 medical claims is at risk of being denied! If you are finding yourself with a stack full

8 Signs You Should Run From Your Current Medical Billing Company

One dollar for every $10 of private practice revenue is at risk of not getting reimbursed from insurance companies — often because of errors in the submission process. If you are experiencing this frustrating reality, you are not alone. But that doesn’t mean there’s nothing you can do about it. Medical billing companies are experts

4 Easy-to-Use RCM Software Platforms for Home Health

revenue cycle management

Every type of healthcare system needs an organizational process to keep their finances in order, including home health services. In order to be sure that clinical functions such as claims processing, payment, and revenue generation are being accurately accomplished, facilities will often turn to a healthcare revenue cycle management software. If you don’t have a

The Top 9 Medical Billing Denial Codes and Reasons

Medical billing denial codes are one of the most frustrating parts of running a medical practice. Not only do they mean lost money; they also often mean that you’re going to have to waste your time either fighting the denial or trying to collect from the patient. Know the Top Reasons for Claim Denials Understanding

Your Practice Is Losing Money Without Proper Denial Management

medicare claim denied

A Medicare claim denied is a lost opportunity for income. When private insurers reject claims, you may be put in the untenable position of collecting funds directly from patients, particularly alienating them, or writing off the lost funds. The average medical practice has a profit margin of about 13%. Eat into this too much through