Medicare Billing Specialist, Inc. is a leading provider of home health and hospice billing services. With over 10 years of experience, our expert team of billers has the knowledge and expertise to navigate the complex world of Medicare billing. From complete billing audits to on-time claim submi...
Most balance billing occurs when the member has a deductible that needs to be satisfied, such as a Medicare Part B deductible, or a commercial carrier deductible The filing limit for claims where ConnectiCare is secondary is 180 days after the issue date of the last claim summary or EOB ...
E/M Services Claim Denial Reasons As per the Centers for Medicare & Medicaid Services (CMS) data, approximately 15 percent of evaluation and management (E/M) services are improperly paid and accounted for almost 9.3 percent of the overall Medicare fee-for-service improper payment. Some of the...
Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM ...
TheClaim Count Summarytile provides a breakdown of all claims sorted by status. Claim statuses include created, saved, submitted, paid and error. Click on any section of the graph to view a detailed list of claims with the selected status. SelectView Reportin the top right corner to view th...
Billing Reminders for the New Year – Part 2 Medicare Secondary Payer: Sometimes, a member will have Medicare as a secondary payer. In this case, it is mandatory that the Medicare Secondary Payer (MSP) code be entered on the claim form. This can be found on Availity or the Medicare web...
insurance, patient, and visit information. We handle any claim denials, verify the insurance, and process the claim. In case you need to make a correction or change in the information, contact us at any time and we will update the claim. We also take care of Medicaid and Medicare claims...
Verification of Patients Insurance Benefits, Entering and submitting primary and secondary Medicare and commercial claims. Read More Provider Enrollment Stop Losing Patients because you are not contracted with their health insurance. Read More Accounts Receivables Recovery ...
The law states that the payer has to pay a clean claim within 30 days, with the option of 45 days if the claim is not submitted electronically, thus our Texas billers will be able to reduce your AR days noticeably. Our professional billers in Texas are trained to handle all aspects ofRe...
secondary's, tertiary’s posting, follow up, A/R management, patient statements, patient questions, collections, work comp/auto, staff development & training, compliance, initial office start-up, consulting, auditing, coding reviews, reimbursement auditing, consistent & timely claim submissions and mu...