Medical Billing & Coding is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government-owned. Medical billers are encouraged, but not required by law to […]
Billing & Coding is the process of submitting and following up on claims to insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government-owned. Medical billers are encouraged, but not required by law to become […]
Coding appeals often center around seeking disclosure of the payer’s coding logic. We use wording such as the following to seek clarification of how the coding decisions were made:
“It is our position that any coding denial should be supported by written coding criteria explaining how newly adopted claim edits will be consistently applied to all […]
