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Recognizing a Patient's Eligibility and Benefits in Steps

WebEligibility simply refers to a patient’s right to receive healthcare benefits. When you sign up for a new healthcare plan, you will be asked to provide information about yourself …

Actived: 7 days ago

URL: https://wonderws.com/a-step-by-step-guide-to-understanding-eligibility-and-benefits-of-a-patient/

Did you know You Can charge for missed patient appointments

WebThe missed appointment charge is not a fee for health care services rendered, but rather, as CMS explains, it is a “charge for missed business …

Category: Health Go Health

New Meaningful Use Program: How Does This Affects Hospitals …

WebNew Meaningful Use is defined by the use of certified electronic health record technology in a meaningful manner, ensuring that the certified EHR technology is …

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Providers Who does not need to be credentialed

WebCredentialing Process: Credentialing includes a review / registering a doctor’s completed education, training, residency and licenses with any certifications …

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What Details Are Included in a Medical Claims

WebEvery medical claims file contains details specific to each patient and patient encounter. In a medical file, this information is split into two parts: the claim header and …

Category: Medical Go Health

PayerDataInsights: A Series Exploring the Use of Data Analytics in …

WebIntroduction. In the ever-changing landscape of the healthcare industry, health insurance payers are constantly seeking innovative ways to improve their …

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Six vital steps comprise the life cycle of Medical Claim

WebHere are the vital steps that comprise the life cycle of a medical claim. Data Entry Phase: In the initial entry phase, a claim begins in either paper form or electronic …

Category: Medical Go Health

Disallowance on my Explanation of Benefits

WebAn explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what …

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Reasons to Ensure Accurate Medical Coding in Healthcare

WebAccurate coding ensures that patient care is tracked correctly, allowing healthcare providers to provide the best possible care. Proper coding also helps …

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How to Improve EMS Claims Management and Reimbursement

WebOur EMS Billing services are designed to improve the quality of documentation needed to get paid quickly. Plus, our EMS billing experts, who have …

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Medical Coding in DME Revenue Cycle Management

WebIn the realm of Durable Medical Equipment (DME) suppliers, efficient and accurate medical coding is a cornerstone of effective Revenue Cycle Management …

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Do we need EHR Lite for Medical Practice

WebIt may comprise all of the key administrative clinical data applicable to that person’s care under a specific provider, including, progress notes, vital signs, …

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Comparing Cloud Based EHR vs. Client Server EHR

WebAn EHR is a vital application that is becoming nearly indispensable in most medical organizations, including those that treat Medicare and Medicaid patients and …

Category: Medical Go Health

Verify patients Insurance eligibility coverage before office visits

WebYou can even include a separate section for it on your patient intake forms, like Physical Therapy and Sports Medicine Center. Just as you would with a regular …

Category: Medicine Go Health

How To Demonstrate Medical Necessity To Reverse a Claim Denial

WebCall in the case within 24 hours of admission. Gather all of the relevant medical necessity documentation during the intake assessment. Monitor the client’s …

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Is it important for a Healthcare company to have core values

WebCore values are what support the vision, shape the company and reflect what the company values. They are the essence of the company’s identity the principles, …

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Process of adjudicating claims

WebClaims Adjudication is the process by which a health plan or government program reviews and pays a claim. The Claims Adjudication Workflow consists of six …

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How to deal with Misspelled name on Insurance cards

WebWhen the customer’s name is misspelled on the insurance card, many well-meaning office staff members at small physician’s offices immediately think to submit the …

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