7 Ways to Get More Medical Billing Clients Research Competition in your Area. Offer Niche Medical Billing Services. Seek Referrals and Testimonials. Develop a Robust Digital Marketing Strategy. Hire a Content Specialist or Graphic Designer. Distribute Newsletters and Direct Mail. Implement a Nurture Campaign. How do I start my ownRead More →
A good example of this are paper explanation of benefits (EOB) forms that have been estimated to cost nearly $18,600 per physician per year in administrative fees. An electronic remittance advice (ERA) — or what is frequently referred to as the HIPAA 835 file — is essentially an electronic EOB.Read More →
A denied claim has been received by the payor and has been adjudicated and payment determination has already been processed. A denied claim has been determined by the insurance company to be unpayable. Denied claims represent unpaid services and lost or delayed revenue to your practice. What is denial inRead More →
Coinsurance refers to the percentage of treatment costs that you have to bear after paying the deductibles. For example, if your coinsurance is 20%, then you will be liable to bear 20% of the treatment cost while the rest 80% will be borne by your insurance provider. What is theRead More →
INCLUSIVE Definition • Bundling or inclusive is a payment method that combines minor medical services or surgeries with principal procedures when performed together or within a specific period of time. What is the denial code for inclusive? Denial Code CO 97 occurs because the benefit for the service or procedureRead More →
We normally would pay 80% of the approved amount after the deductible is met, which is $40.00 ($50.00 x 80% = $40.00). However, due to the sequestration reduction, 2% of the $40.00 calculated payment amount is not paid, resulting in a payment of $39.20 instead of $40.00 ($40.00 x 2%Read More →
Insurance Glossary The Consolidated Omnibus Budget Reconciliation Act of 1985, commonly known as COBRA, requires group health plans with 20 or more employees to offer continued health coverage for employees and their dependents for 18 months after the employee leaves or resigns from the organization. How is COBRA calculated? PremiumRead More →
HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996, and the term is also frequently used to mean the many regulations, which have been published since 1996 under that law. Why is HIPAA important for billing and coding? HIPAA is important because it ensures healthcareRead More →
1. INCLUSIVE DENIAL Denial Series. INCLUSIVE Definition • Bundling or inclusive is a payment method that combines minor medical services or surgeries with principal procedures when performed together or within a specific period of time. Examples: 71010 (Single View) inclusive with 71020. ( Two view) What does inclusive billing mean?Read More →
An EDI Billing is an electronic version of a paper invoice that sellers send to buyers to request payment for products delivered. An electronic invoice is one of the most fundamental documents in an automated EDI system. How does EDI work in medical billing? Electronic Data Interchange (EDI) is theRead More →