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EZClaim Blog
EZClaim’s blog is an up-to-date source of information about the company and the medical billing industry.
Payer Reimbursement Pitfalls
We often find that the reason behind declining medical practice revenues doesn’t have to be uncovered – it’s right there in plain sight in your payer contracts. Practices that don’t track their payer contract rates are reimbursed on average 4 percent less.
Electronic Visit Verification (EVV)
Electronic Visit Verification (EVV) is not just a buzzword in the market, so if you don’t already understand it, we suggest you do so soon. It is a rule that goes into effect in less than a month. If you provide personal care services, you need to understand what to do so that you do not have a disruption in your revenue stream.
Clearinghouses – Simply a Pass-Through Portal?
I recently attended a breakout session of a seminar with a slide titled: “Clearinghouses are not Simply a ‘Pass-Through’ Portal.” With my role as a software support specialist, I immediately tensed up and thought about how inaccurate this statement is – I hear from clients that think that the software or the clearinghouse has changed their data, but that simply isn’t how it works.
New Medicare ID Cards
Medicare updated their cards with a new Medicare Beneficiary ID (MBI) and has finished a mass mailing effort to send new cards to every beneficiary (including Medicare RR members).
Compliance Plan Breakout
Any provider that is treating Medicare or Medicaid patients is required to have a compliance plan for their practice. This is mandated under the Patient Protection and Affordable Care Act of 2010.
MMBA Michigan Chapter Meeting – Northeast
Cybercriminals are developing more advanced attacks and they are no longer purely technical. In today’s internet-connected world we all have a role to play in securing the environment we live in. Senior Security Analyst JJ Strieff will lead a discussion regarding the technology we use every day and the part we must play in keeping it secure.
Top Three Reasons CEHRT Reporting Will Earn More Points and Maximize Reimbursements
The Medicare Access and CHIP Reauthorization Act (MACRA) and the program designed to implement the law, Merit-based Incentive Payments Systems (MIPS), have raised the financial stakes and the complexity of regulatory compliance for all healthcare systems.
Getting Claims Right the First Time
The numbers are staggering. Industry averages report that nearly 20% of all claims are denied, rejected, or underpaid. And considering the cost to rework claims — not to mention even higher appeal costs — as many as 60% of returned claims are never resubmitted.
ONE Patient Complaint
One patient complaint, that’s all it takes. Have you ever read such headlines and doubted whether a small billing company or independent physician practice would ever face such seemingly insurmountable penalties?
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