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By now, these medical payment denial statistics are old news: •  50-65% of denied claims are never reworked •  200 million claims are rejected every year •  90% of denials are avoidable Although these numbers are common and, most likely...

The Louisville-based Humana is expanding a value-based payment model into seven additional states, while the Medicare agency has yet to set a clear course for how to handle such models. Humana announced last week it would start offering its...

When your reimbursement staff is working old accounts receivable while also trying to stay up-to-date with current billing and collection activity, they can quickly feel overwhelmed. While the high dollar claims always need to remain a priority...

The one thing doctors should be doing is making sure their patients have their address correct with Medicare. The patient won’t get a new card if their address is not correct. This simple reminder could diminish ongoing problems for...

There is nothing more frustrating to physicians than knowing a patient needs a certain diagnostic test or medication and having them not be able to get it because their health insurance company won’t cover it. All too often, many services require...

Learn the right way to code ‘incomplete’ colonoscopies Billing Medicare and other payers for endoscopy services is pretty different from billing for other types of procedures. And if you’re like most coders/billers, you’re probably making some...