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Basics of Good Faith Estimates Starting on January 1, 2022, the No Surprises Act (NSA) protects uninsured or self-pay individuals from many unexpectedly high medical bills. The Good Faith Estimate shows the costs of items and services that are reasonably [...]
Its quite common to receive a request for medical records from insurance carrier who is going to conduct an audit on your claims. Sometimes, in such external/payer audits, practices receive audit results like, medical necessity not supported; records include [...]
It’s quite normal to receive a request for medical records from a payer who is going to conduct an audit on your claims. You will prepare for this payer coding audit confidently, as you have excellent electronic health record [...]
Defining New Patient New patient is defined as, an individual who has not received any professional services, Evaluation and Management (E/M) service or other face-to-face service (e.g., surgical procedure) from the same physician or physician group practice (same physician specialty [...]
Patient eligibility and benefits verification is the process by which medical practices confirm insurance coverage for planned care. This insurance coverage report will include information such as coverage, co-payments, deductibles, and coinsurance with a patient’s insurance company. Patient eligibility [...]
