Tag Archive | "Claim denials"

Knock Out Medical Claim Denials With This 1-2-3 Prevention Plan

Thursday, December 19, 2019

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If denial prevention is one of your New Year’s resolutions, we’ve got some ideas to help you achieve your goal. Make 2020 your best year yet by watching the little details that matter for your medical claims, including changes for Appropriate Use Criteria, Medicare Beneficiary Identifiers, and global billing address requirements. 1. Remember That Code […]

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Don’t Miss These Tips to Win Claims Appeals, Get Paid Right the First Time

Wednesday, February 3, 2016

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Ever get paid for a claim, then hear from the payer that you have to send the money back because they reconsidered the claim and denied it? Ouch! Well, CMS has good news for you — recently released guidance from that agency limits the scope of review for some re-determinations and reconsiderations. That means in […]

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Denied Claim? Make An Appeal The Right Way

Wednesday, November 16, 2011

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For billers and coders, “DENIED” is the most dreaded word, but you don’t have to take it lying down. As painful as it may sound, but an appeal is worth every effort. You have the right to appeal when Medicare or your insurance company denies or pays less than the full amount of your claim. […]

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