Download Support Tools The verification process is often a team effort. A clinic will sometimes share the responsibility during slower times and lunch time. It helps to have everyone on the same page using the same system. The Support Tool titled Carrier and Verification Reference Tool allows the clinic to have on hand the numbers…
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This tutorial provides tips and tricks for the clinic to master the verification process. The staff member will learn how to use the verification template for gathering information that can assist with reimbursement. We even provide a peek at the many resources a clinic can find online via payer portals that help the clinic avoid…
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Online Resources A Provider Manual is often made available to the provider once s/he is credentialed with a payer. After that, all updates to the Provider Manual are carried out electronically. It is up to the clinic to stay on top of Provider News and Updates regarding the contract agreement. Because carriers do make changes,…
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If you bill insurance, the Medical Review Policy (MRP) is one of the most important documents for successful billing and reimbursement. In this quick tutorial you will have the opportunity to view the process of tracking these documents online.
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Impact on Reimbursement Make no mistake, the Medical Review Policy (MRP) matters and it plays a key role in determining the care that is reimbursable by a payer. The MRP is an administrative and educational tool designed to help providers, physicians, and suppliers submit correct claims for payment. Medical Review Policies outline how contractors review…
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Collecting Other Detail Coverage Documents In addition to Insurance Verification, it is advisable to collect both the Summary of Benefits and Coverage (SBC) and the Summary Plan Description (SPD) for each patient and store these documents where they are easily accessible. This is just another good practice will that help both you and your patients…
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