What is the Coordination of benefit? Coordination of Benefits -In general, the patient has many plans like a primary plan, secondary plan, Tertiary plan. These plans are Coordinated and Provisioned …
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When can a Claims Deny For No Authorization Reducing the claims denials requires a lot of hard work and process needed. prior authorization is a mandatory thing for a provider …
What is Medical Record Denial in medical billing? Medical Record Denial – Medical records are a written form of description of the treatment. For claiming insurance medical records are much …
Important factors of the denial Treatment is done post the policy termination date. The date of service doesn’t fall within the effective and the termination date. The patient fails to …
Difference between Participating providers Non participating providers The participating provider can get 80 percent of claims endorsed by Medicare. 20 percent from the medicare coinsurance of patients. But nonparticipating providers …
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Mutually Exclusive Procedure Mutually exclusive procedures are defined as a set of procedures codes that cannot perform together. In other words, a Mutually exclusive procedure is based on the code …
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What is Global days/period and how to solve the denial? Global Period denial a very easy and interesting scenario to learn. To make things easier There is an important and …
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