Are Claims Management Companies Worth It?
The world of insurance claims can be challenging, intimidating, and downright frustrating at times. Between changing regulations, delayed payments, and unresponsive financial institutions, you may find yourself wishing a fairy godmother would swoop in to magically take care of all your claims and deliver all your payments in light speed. Unfortunately, fairy godmothers don’t exist in the […]
Medical Claims Clearinghouses: A Guide
There are several important things to consider concerning using a claims clearinghouse for your practice. Here are some examples of what you need to know to make sure that you are armed with the right data to make good decisions. The Importance of Having the Right Medical Claims Clearinghouse Your office can benefit significantly from […]
How to Read an EDI 837 File
837 File Format Guide Today’s technology innovations allow for the rapid exchange of data all over the globe. In offices that offer patient services, safeguarding patient privacy is of the utmost importance. The 837 or EDI file is a HIPAA form used by healthcare suppliers and professionals to transmit healthcare claims. Before delving deeper into […]
Medical Billing Clearinghouse: What You Should Know Before Challenging a Medical Bill
Many patients have higher deductibles with their medical plans today than they did in the past. This means they have an interest in paying closer attention to the medical claims they receive. While many healthcare providers provide payment options intended to help the patient, before challenging a medical bill there are some key issues to […]
Medical Billing Clearinghouse: Electronic Health Record Use Adopted by an Increasing Number of Practices
Physicians and healthcare providers are continuing to invest in the use of medical claims software systems. According to a survey conducted by the consulting firm Software Advice, they are doing so to increase efficiency for medical staff and for their patients. The survey found that 35 percent medical claims software users indicated that they are investing […]
Medical Billing Clearinghouse: What Can I Gain by Using Billing Software? What Can I Lose If I Don’t Use It?
Most healthcare providers spend years learning how to build a successful medical practice and focus on providing top notch patient care. Yet, sometimes ignored, medical claims, is an extremely important component of your business. Billing challenges can slowly drain your financial outcomes and become a serious distraction for office staff. The business side of […]
Medical Billing Clearinghouse: What Is a Clearinghouse Service?
can become increasingly complicated as a healthcare practice grows. A clearinghouse service, like Apex EDI, helps eliminate billing errors and ensure claims are paid on time by working as an intermediary between the provider and insurance company. We check to make sure no errors are made before submitting claims for payment. All procedural and diagnosis […]
Medical Billing Clearinghouse: Avoid Medical Claims Billing Problems
All providers want to be reimbursed promptly and accurately for their services. Unfortunately, human and electronic errors are unavoidable and can slow down medical claims processing. Our goal at APEX EDI is to reduce as many of these delays as possible and accurate reimbursement. There are some very basic information errors that can be quickly […]
Medical Billing Clearinghouse: Are You Ready to Handle a Medical Malpractice Claim?
Medical malpractice claims have become so common that 42% of physicians will face one at some point in their career according to the American Medical Association. The process of investigating, processing claims and responding to legal requests can be quite complex and time consuming for you and your clinic. The legal process itself can take […]
Medical Billing Clearinghouse: How to Settle Medical Billing Disputes
Health care insurance billing is very complex and can be quite confusing. At some point in time you will no doubt find yourself in a billing dispute trying to determine what has been paid for and what payment is due. It’s important to know how to dispute a medical billing issue, how to appeal a […]
