In this tutorial, we will delve into each section of the CMS 1500 form or professional claim, ensuring a clear understanding of inputting patient details like name, birth date, gender, and insurance details, selecting the appropriate payer or MLTC, adding the correct diagnosis code, and authorization specifics.
In this video, we will be diving into the world of Clearing Houses for healthcare billing. I'll walk you through what is a clearing house in medical billing, how it acts as a middleman between healthcare facilities and payers, and the crucial process of submitting electronic claims through it.
Learn how to efficiently complete an institutional or UB-04 claim using our specialized software. From patient information to admission codes and service details, we'll navigate each crucial segment, ensuring clarity and accuracy throughout the submission process.
"What is an EOB and how can you read it? It must be one of the most important things you may ask as a healthcare entrepreneur, as this document will allow your facility to receive money.
Encountering insurance claim denials or rejections from Managed Long-Term Care (MLTC) or insurance companies can disrupt the payment cycle and even strain patient-provider relationships. That's why understanding the root causes of these denials is crucial. In this video, I delve into the most common reasons for these denials, like incomplete or inaccurate information, billing errors, authorization issues, and coverage limitations.
