Download Support Tool The EOB Audit Tool
The Intent of an EOB Audit? For a practice that participates in 3rd Party Reimbursement activities and accepts assignment of benefits, the best indicator of whether you are being paid what you deserve is the Explanation of Benefits that accompanies payment. This important document shares not only the adjudication of your claim for payment but…
Protect the Clinic’s Reimbursement The Accounts Receivable process often requires the workforce member responsible for billing to follow up on denied claims or recoupment requests. If your team member is using the KMC University follow up system, these are located in the Reactive Follow Up file. As a compliance officer, it is vital that you…
A Closer Look at the Results Now it is time to review the numbers. There are several guidelines you can follow to see how your ratios compare to other national averages. It’s important to understand that these are guidelines, and we are not recommending ways to fool the insurance companies or increase reimbursements. The report…
Now it is time to find your quiet place and ready the tools and documents you downloaded. Follow along in this step-by-step tutorial on how to use the Coding Tool to audit your coding process. You may want to download the Sample Audit Tool as you complete the training. Be sure not to confuse your…
KMC University has lessened the frustration of the audit process by creating customized Audit Tools to streamline the auditing process. The coding audit tool was created to identify coding practices that might be a red flag to external parties. Get Ready to Audit Prior to viewing the How To tutorial, we recommend that you locate…