Medical vs. Vision Care Claim Processing
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
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 […]
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. […]
How Technology Improved Medical Claims Auditing
When it comes to technology, perhaps no industry has been so helped by the advent as the healthcare industry. In particular, the claims audit process has evolved leaps and bounds with the development of software for the job. Processing various claims by hand is tedious, painstaking, and frankly, takes too much time out of your […]
Medical Claims: What Does the Medical Claims Process Look Like?
The medical claims process begins when the patient goes to the healthcare provider for any service, from refilling a prescription to major surgery. The patient is responsible for paying the insurance deductible after the visit and providing insurance information to the healthcare provider. Typically, front office staff begin the claims process with a pre-registration form. […]
Medical Claims: Will Medical Claims Software Help My Practice? What Should I Look For?
Implementing a medical claims software is an easy way to see an immediate increase in revenue for your health care practice with a minimal investment. The software allows your staff to focus their time on what’s really important, the care of patients, rather than tracking and submitting medical claims. There are a number of features […]
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 […]
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 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 […]
