Medical Billing and Coding Resources
Medical Billing and Coding Resources
It’s evident that teletherapy offers numerous benefits for both counselor and client, some aspects of this service, such as insurance coverage, remain blurry. If you accept insurance, you’re probably wondering if you’ll get reimbursed for online therapy. In this blog, we’ll answer some of your questions about insurance coverage for teletherapy, so that you can […]
Eligibility and Benefits Verification Eligibility and benefits verification can be complex, with patients taking on more payment responsibility and frequently changing insurance providers. You need to identify coverage fast and reduce the number of claims being denied on the back end due to inactive insurance or non-coverage. There are many things that can influence the […]
Missing/Invalid Payer ID: This rejection is stating that the payer ID that was used on the claim is not a valid payer ID for electronic claims submission through your billing software. Claims are most often rejected due to incorrect or invalid information that does not match what’s on record with the payer/insurance company. Medical claim […]
Invalid Mbr: It means the insurance company cannot find the member. With this type of error, you may need to call the insurance company to check on why they cannot find the member. There might few reasons why you may be getting this error. While on the phone with the insurance company, open the copy […]
Definition of Accounts Receivable (A/R) The term A/R days or accounts receivable days may be defined as the number of days that a medical billing office/hospital takes to collect the outstanding amount from an insurance carrier for all the services it provides to insured patients. A/R days are calculated for the time period of 3 […]
Challenges in Mental Health Billing Medical billing can be extremely complicated on its own, but medical billing for mental health services brings its own set of unique challenges. Between the types of services offered, pre-authorization, unbundling concerns, and the size and time availability of office staff, mental health facilities are often at a disadvantage compared […]
It’s no secret that missed appointments are a source of frustration to every practice. From the wasted preparation time to the lost revenue, a no-show can throw off the flow of your practice. Whatever the cause, from lack of transportation to forgetfulness or financial issues, you will reduce the number of patient no-shows in your […]
Provider credentialing and contracting are usually used as synonym, but technically these are two separate things. To put in simple words, being credentialed means you are loaded in the insurance company’s system. Normally when you are only credentialed, it means you are out of network with the insurance company. Now, contracting is the process of […]
Basics of CMS 1500 Most insurances allow you to send an electronic version of CMS 1500, called an 837 file. But, unfortunately, some paper-only payers are still hanging around, and they require that billers print and fill out the entire form. The bad news is that you can’t just look up a PDF of the […]
Supplemental Information in Item 24 Supplemental information in Item 24 could be confusing. Sometimes, to process a medical claim this supplemental information is required. Without this supplemental information CMS 1500 form is considered incomplete hence can’t be processed. We have shared all required information along with examples. Kindly note that following examples demonstrate how the […]
