Medclaims Billing Services, Inc.
Our services will improve your cashflow
Preventing Duplicate Authorizations 2/8/2012 Once an authorization for your requested service(s) is received by TriWest Healthcare Alliance, please do not send in another request containing the same diagnosis and CPT/HCPCS codes. If you need to add additional services later, you should submit an additional authorization request listing … [Read more...]
Clients see immediate improvement in cash flow. This is because our total focus is billing. Unlike office billers, we are compensated based on what we collect. Therefore, we work very hard to maximize collections. We also have state-of-the-art tools and we are experts in medical billing. This means that the job gets done correct the first time. We … [Read more...]
Why should I outsource my billing? This question is best answered with another question: Why do you pay an accountant to do your taxes? Professional billers know the industry inside out and have the right tools to get the job done. In addition, office billing-costs (salary, Workman Compensation insurance, etc) can be eliminated or substantially … [Read more...]
Providers and suppliers, that expect to receive payment from Medicare for services provided, are required to agree to receive Medicare payments through electronic funds transfer (EFT) at the time of Medicare enrollment, enrollment change request or revalidation. Source: … [Read more...]
Compensation needs to change to meet growing demand forservices; country needs to learn to sacrifice again. Source: http://www.medicareresources.org/blog/2010/12/15/shortage-of-geriatric-doctors/ … [Read more...]
Fact: When providers participate (are contracted with) insurance carriers, they can not bill patients for balances above the insurances' allowed amounts. … [Read more...]
New ICD-10 Implementation Handbooks Now Available CMS has developed four Implementation Handbooks as additional resources to assist the health care industry with the transition from ICD-9 to ICD-10 codes. Each guide provides detailed information for planning and executing the ICD-10 transition process. Use the guides as a reference whether you're … [Read more...]
12/19/2011 By Eileen Turner, Senior Technical Advisor, CMS Over the coming months and years, CMS's Medicare Administrative Contractors will begin to request that practitioners revalidate their Medicare provider enrollment information. The revalidation effort will require that each practitioner submit a complete and up-to-date provider … [Read more...]
CMS Quarterly Provider Update. The Quarterly Provider Update is a comprehensive resource published by the Centers for Medicare & Medicaid Services (CMS) on the first business day of each quarter. It is a listing of all non-regulatory changes to Medicare including program memoranda, manual changes and any other instructions that could affect … [Read more...]
HHS Adopts HIPAA Standard for Electronic Funds Transfers/Remittance Advice. The Department of Health and Human Services (HHS) is adopting two standards for the health care Electronic Funds Transfers (EFT): the CCD+Addenda implementation specifications in the 2011 National Automated Clearing House Association (NACHA) Operating Rules & … [Read more...]