Medical Claims Processing: Tips for Appealing a Denied Medical Claim
Medical claims may be denied for a variety of reasons. Fortunately, there are some ways for patients to appeal a denied claim within six months of the healthcare service. Follow these tips and you will have better success recovering denied benefits from your insurance company. First, it’s important to understand exactly why the claim […]
Claims Processing: How to Avoid Claim Denials
The best healthcare practices know that managing claims and avoiding unnecessary claim denials is a crucial part of the business. Errors, oversights, and delays in processing can cause more than you might think. To have an immediate impact on your business make improvements in these three areas. All claims must be legible. Even claims printed […]
Medical Claims Processing: What Does a Medical Claims Processor Do?
Caring for the health of your patients is the most important part of your business. That is why millions in the healthcare industry rely on specialized professionals, like Apex EDI, to manage the complex interactions between healthcare providers and medical insurance companies. Allowing others to handle this responsibility for you lets you focus your attention […]
Medical Claims: What Can Medical Claims Software Do for My Clinic?
There are many benefits of having an up-to-date medical claims software tool. A good claims software system will help ensure you receive fast reimbursement for all the services you provide to your patients, stay compliant with current health regulations, save time and reduce costs for your office. You will have instant access to all […]
Claims Processing: Why Doctors Should Monitor Medical Claim Status
Most doctors have experienced some medical claims headaches at some point in time. The routine monitoring of patients’ medical claim status can help you prevent potential problems or claim denials before they occur. The likelihood that you will ever receive a payment drops significantly if your claim is denied once. You can save a lot […]
Medical Claims: Patients Can Claim Medical Expenses on Taxes
When patients have unexpected medical expenses, it’s nice to know that there are many claims that can be deducted from income taxes with proper documentation. Preventive care, treatment, surgeries, dental, vision care, medications, and health related appliances like glasses or false teeth can all qualify under IRS rules as medical expenditures. Medical expenses that the […]
Medical Claims: How Long You Should Keep Medical Claims and Bills
Keeping medical claims documents and billing information can be useful for many reasons. They help you establish a health history for yourself or loved one, ensure you are receiving the medical benefits you are entitled to, and demonstrate that you’ve met an annual insurance deductible and qualifications for income tax deductions. You will want easy access to records […]
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 Claims: Medical Claims Can Be Appealed
Processing medical claims can get confusing, especially when someone files an appeal. According to the Department of Labor (DOL) Employee Benefits Security Administration (EBSA) there are four determinations during the medical claims process that can be appealed by anyone. An urgent care claim is one that would substantially impact the life of the claimant or […]
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 […]
