Download Reference Document According to section 937 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-73, the Secretary of the Department of Health and Human Services is required to establish a process for physicians, providers, and suppliers to correct minor errors and omissions in insurance claims without making them…
Managing Appeals Effectively and Efficiently
Navigating the choppy waters of the Appeals Process can be confusing and frustrating at best, but with a little research and insight, you can come out on top when challenging a denial. In the first tutorial, we address general claims, the reasons for denials, when an appeal might be appropriate, how to mount the appeal,…
Reactive Actions
A Critical Part of Your Follow-Up System Whether you are working in a single-CA office or are assigned specifically to the billing and collections department duties in a larger clinic, inbound items that must be addressed can easily overwhelm an office. As with actionable items that require a call, it’s inefficient to start and stop…