Denials

Which payers should you deal with and which should you drop? PayerView uses real claims data to rank them first to worst.

Appeal Letter for Claims Denied for Improper Bundling

Appeal Letter Justifying Emergency Treatment

Appeal Letter Justifying Medical Neccessity

Use this letter when a claim is denied because a patient saw a physician in your group who is not his or her designated primary care physician.

This Advance Beneficiary Notice form, created by CMS, is best managed by the clinical team at your medical practice versus the front office staff.

If you’ve been putting off developing a compliance procedure for the new Red Flags Rule aimed at preventing identity theft, the time has come to act.

Following a two-year demonstration project in four states, Medicare’s Recovery Audit Contractor (RAC) program is going nationwide in 2009.

This month: Office vs. hospital outpatients; 2009 surgical global package; When to code a consult.

Outsourcing billing operations can be a relief to a frazzled practice. But you need to do it right; after all, your practice’s revenue is at stake.

Coding is no fun, but you gotta get it right if you wanna get paid. Here’s our guide to coding like a pro.