FAQ – KMC University

FAQ-Proactive Follow-Up

Proactive Follow-Up FAQs Q: How do we search for missing, unpaid claims? A: The recommended and most efficient way to track unpaid and unprocessed claims is to generate an aging report through your practice management software. An aging report is a vital tool used to proactively follow up on outstanding claims. Q: After generating an...

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FAQ-Reactive Follow Up

Reactive Follow-Up FAQs Q: HELP! Our billing person won the lottery and quit. Where do we start with all of these unpaid claims? A: Implement the KMC University Follow-Up system if you haven’t already. Sort all papers into appropriate folders labeled Reactive Call or Reactive Action. Reactive call items include payments with incorrect information, skipped...

FAQ-Payment Posting Basics

Payment Posting Basics FAQs Q: Why doesn’t auto posting catch all denied claims? A: Every billing program is different as is every clearinghouse and insurance company. Auto posting only works if the Electronic Remittance Advice (ERA) is formatted so that it can be read by your billing software. Some billing programs allow advanced customization with...

FAQ-Understanding 3rd Party EOB’s

Understanding 3rd Party EOB’s FAQS Q: When reviewing my EOB, I saw that on most of the lines of service the carrier did not pay the full amount stating that a provider discount was applied. There was one line however, that was paid in full. Why? A: The provider discount applies if the amount you...

FAQ-What You Need to Know About QMBs & ABNs

QMBs & ABN FAQ’s Q: What is a QMB? Why do I need to know if a Medicare beneficiary is a QMB before billing? A: The QMB (Qualified Medicare Beneficiary) program is a State Medicaid benefit that guides low-income Medicare beneficiaries through Medicare Part A and Part B premiums and cost-sharing (this includes deductibles, coinsurance,...

FAQ-Initial HIPAA Training

Initial HIPAA Training FAQs We have gathered some common questions submitted by providers to the KMC University help desk on how long, how often, and what to include in HIPAA training. Please take a moment to review these for additional information on matters not addressed in this module. Q: What types of organizations must provide...