What is Underpayment and overpayment in medical billing The exact answer is if the claim paid more than the expected Contracted allowed amount then it is called Overpayment. Similarly, If …
What is workers’ compensation insurance and why do we need it? In the United States, workers’ compensation coverage pays for medical treatment and a percentage of wages if the employee …
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 …
Introduction of authorization in medical billing There is a big difference between prior authorization and retro authorization in medical billing. Retro authorization only applies to claims that have already been …
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 termination date. The patient fails to update …
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 …
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 …
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 …
