Certified Medical Coders Protect Provider Reimbursement

Billing problems are an ongoing point of frustration in medical offices. Errors and denials can quickly snowball, creating big revenue cycle problems. One study from BMC Health Services Research found that time spent coding, filing claims and obtaining prior authorizations, cost the U.S. healthcare system as much as $471 billion in 2012.[1] Losses from improperly…

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Using EHR Medical Coding Shortcuts May Put Physicians at Higher Audit Risk and Increase Billing Denials

Medical coding errors can cause considerable damage to both patients and providers in the form of inaccurate medical bills and lost revenue for the medical office. The best practice is to employ well-trained and qualified staff to ensure that correct claims are submitted for reimbursement the first time. If the devil is in the details,…

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$68 Billion in Medical Billing Errors Puts Physicians’ Livelihood in Jeopardy

MAY 15, 2017 — As many as 80 percent of all medical claims submitted to insurance carriers contain mistakes estimated at $68 billion (1). Approximately 55 percent of evaluation and management (E/M) claims are incorrectly coded resulting in $6.7 billion in improper Medicare payments.(2) Providers looking to avoid lost revenue and serious consequences are raising…

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Why We Host

Why We Host: An Interview with Lisa Lee, Senior Manager, Outreach Development for University Health System Practice Management Institute (PMI) works with clients all over the country to provide training opportunities for medical offices regionally. In 2016, University Health System (UHS) in San Antonio, Texas, hosted 11 classroom sessions that brought professionals from medical offices all…

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6 Best Practices for Appealing Denied Claims

Attention to detail when filing claims is the best defense when trying to curb denials. Even when everything is submitted correctly, there are a myriad of reasons that claims get denied. Codes may be out of date or lacking specificity. Modifiers may not be applied correctly. The patient may be ineligible for coverage or may…

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