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Why Use EDI in Healthcare?

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As the digital world continues to advance, we are privileged to use various software and technologies that make our jobs easier. One such technology is electronic data interchange (EDI) software. EDI in healthcare allows for improved claims processing with improved security and efficiency for patients and healthcare providers. Medical professionals everywhere are taking the leap and adopting EDI. Keep […]

Why You Should Use Vision Billing Software

An optometrist performing an eye exam for her patient. 

Rampant errors in insurance claims and coding may result in delayed revenue cycles for clinics. These errors prevent vision care professionals from realizing the percentage of payments they should from insurance companies. Even when they finally receive these payments, it’s weeks after the claim has been submitted, slowing down cash flow. But billing tools like Apex EDI’s insurance claim clearinghouse remove the […]

What You Need to Know about Denied and Rejected Claims

Billing employee frustrated on the phone over denied and rejected claims.

Denied and rejected medical claims can erode a significant chunk of your practice’s revenue, especially if you’re not set up to manage them efficiently. The good news is that the majority of rejected and denied claims are preventable and caused by common errors. You can make a big difference in your claim rate by identifying […]

4 Keys to Submitting Claims Successfully

Doctors and billing team working together to submit claims more successfully.

Submitting claims requires an A-list clearinghouse. Let’s face it. The claim management process is quite tasking, and without the right intermediary, getting what is due to you can be an uphill task.  A slight delay or an unsuccessful claim could mean poor cash flow for your organization. In today’s post, you’ll discover what it takes to file […]

Medical vs. Vision Care Claim Processing

An optometrist performing a routine eye exam on her patient. 

Handling claims regarding optometry and ophthalmology can entail a string of tiny details, including differences between billing to a vision plan versus what you should bill through a patient’s medical insurance. Differentiating between the two can often be a little confusing at first, and that’s okay. To make things easy, let’s review what the differences between both […]

How to Audit Medical Claims

Dental Billing

A medical claims audit can prove to be the most valuable tool in your clinic’s compliance arsenal. When properly conducted, an audit can boost your claims accuracy and help your medical billing unfold more efficiently. Whether you choose to conduct your review internally or hire an external auditor, it’s important to understand how to audit […]

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 […]

8 Benefits of Using a Claims Clearinghouse for Medical Billing

Health insurance has always been a highly debated topic. With more people using a larger variety of health insurance options, we ultimately have more insurance claims to file. Unfortunately, this means medical associations and individual practitioners often find themselves bogged down with more and more paperwork and medical billing can become overwhelming.   Medical claims processing can be […]

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 […]

Why Many Medical Claims Are Rejected on First Submission

Rejected medical claims cost you time and money. However, medical claims processing doesn’t need to be so difficult. Getting a medical claim approved on first submission will make life easier for everybody. Most insurance companies know that if they deny a claim right away, the odds are that they will never have to pay it. […]