Articles tagged: claims reimbursement 

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10 Steps towards Efficient Medical Electronic Billing Claims Submission written by Pinky Mcbanon
Electronic billing is not that easy as you might think. But there is always a good training, practice and ways to efficiently maximize the use of electronic billing submission. There are many advantages why medical providers must submit claims by electronic. One is because the processing and reimbursement time is at least within 72 hours compared to a paper billing that may take up to 3 weeks. Electronic submission reduces errors and lost of claims by 98%. Transmission is fully encrypted and compliant with HIPAA rules and guidelines.

10 Common Reasons Why Medical Claims were being Denied and your Action Plan written by Pinky Mcbanon
(1) Incorrect patient’s information (insurance ID# , date of birth) If you are submitting electronic claims, AVOID entering patient’s insurance number with characters like an asterisk (*) and dash (-) in between the alphanumeric numbers because these characters can be recognize by electronic as unrecognizable. Just check on this issue with the clearinghouse or your service provider. Always make a copy of your patient's primary & secondary insurance card on file (copy front and back!). Make sure to get a copy of their new card (if there is a change).

Tracking Your Medical Claims Reimbursement written by Pinky Mcbanon
EOBs (Explanation of Benefits) with its attached claims must always be monitored before posting payments to the patient’s account. Responsibly ask yourself, were you reimbursed correctly? Are you sure the claims were processed properly?

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