Reading a Medicare Remittance Advice has some important information that will help the office post Medicare payments and collect the correct reimbursement from the patient. With the MRA, you will be also able to see if the patient has a secondary insurance that Medicare automatically crosses over to the patient’s secondary insurance. This brief training…
Explanation Of Benefits (EOB) and Electronic Remittance Advices (ERA) are formatted differently for each insurance carrier, but the information they provide is the same. Armed with this important information, we can properly post payments and zero pays, as well as assign patient responsibility. The EOB allows the financial department team to locate information about the…
Paper Billing FAQs Q: Why would I ever paper bill? We are completely electronic. Are there rules for Paper billing? A: Some carriers must be billed on paper—e.g., Personal Injury and Workers’ Compensation claims. When a bill is printed, there should be a procedure to follow—don’t just stuff the forms into envelopes. The process starts…
What are the Rules? Understanding the term ‘Small Provider’ As of October 16, 2003, The Administrative Simplification Compliance Act (ASCA) prohibits payment of initial health care claims not sent electronically, except in limited situations. The exclusion that applies to most doctors of chiropractic is the ‘small provider claims.’ CMS states: The word “provider” is being…
Paper Claims Still Required by Some Some carriers must be billed on paper, such as Personal Injury and Workers’ Compensation claims. It is important that you have a standard operating procedure for printing bills. The entire process starts with a clean claim. If you do not submit a clean claim, payment may be delayed. Below…
Not all payers accept electronic billing. Especially those Personal Injury or Worker’s Compensation payers. The process for billing is not different from electronic, other than all the “scrubbing” must be done by a human, not a machine. Understanding the process of sending paper claims correctly and efficiently will be a boom to your cash flow….