A Process in Claims Denial Management - Prevent.
September 13, 2023
Claims submitted to insurance companies oftentimes get rejected due to errors.
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Claims submitted to insurance companies oftentimes get rejected due to errors.
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Insurance companies oftentimes reject the claims submitted to them due to errors present in them and these errors are given specific codes to denote the reason for the denial.
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Claims denial management attempts to eliminate the reasons leading to denials in medical claims.
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Claims submitted to insurance companies oftentimes get rejected due to errors.
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Denial management attempts to eliminate the reasons leading to denials in medical claims. Moreover, denial management
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Virtual Care is rightfully here to stay because of its undeniable advantages. Healthcare systems around the world have begun implementing
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Documents that contain information that is vital for patient care are called Medical Documents. These can be Clinical or Non-Clinical
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Today’s Healthcare industry not only uses technology for the digitalization of health records but also for the processes involved in
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Hybrid healthcare is a combination of care provided Virtually and Physically. This method of healthcare, since its inception, has evolved
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Any technology has its advantages and disadvantages. This applies to telehealth too. Some of the prominent advantages are Very profitable
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A detailed recording of a medical treatment, medical trial, or a clinical test is called Clinical Documentation. it may be
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Telehealth is the use of digital Information and Communication technology to access healthcare services remotely, with the use of computers
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After the recent COVID pandemic, it has been established that telehealth can be used for treating patients with acute and
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“The delivery of healthcare services, where distance is a critical factor, by all healthcare professionals using information and communication technologies
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The lifespan of human beings has increased multifold due to the advancement in healthcare. The way healthcare organizations function to
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RTLS is Real-time location system which are basically tracking devices. It helps to track both people and objects and it
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AI is the future of the healthcare industry and it has already proved its usefulness. AI can interpret large amounts
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In recent years, AI has influenced the healthcare industry in the most significant way and has provided positive transformation in
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PHI denotes Protected Health Information of patients. This also includes e-PHI which is Electronic Protected Health Information. These are health
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HIPAA is Health Insurance Portability and Accountability Act. It is the standard adhered to for maintaining patient privacy. Implementing the
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At-home patient care or Hospital-at-Home, as it is commonly known, though has been prevalent before, post-COVID, it has been widely
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The use of various telecommunication technologies to provide healthcare or assist in it is Telehealth. Telehealth has grown in leaps
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The use of technology to provide healthcare from a distance is Telehealth. Computers or mobile phones with cameras are used
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Any form of communication technology used for the purpose of providing health to patients is called Telehealth. Telehealth has various
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The use of various telecommunication technologies to provide or assist in healthcare is Telehealth. Telehealth has grown in leaps and
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The use of technology to provide healthcare from a distance is Telehealth. Computers, mobile phones, or any such gadgets with
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When patients are involved in their treatment process by engaging more with their providers and healthcare team to better understand
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Remote patient monitoring (RPM) is an extension of telehealth and home care. It includes one or more devices which help
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The difference between EHRs and EMRs can be quite confusing as many times they are used interchangeably and also since
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EMRs or electronic medical records are records pertaining to an individual’s health. These are in a digitised format instead of
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Electronic health records or EHR as they are referred to, are records of all information of patients maintained in a
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A physician makes voice notes of the treatment that he has provided to patients for the purpose of transcribing it
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Medical records have to be maintained regularly and accurately because patients’ treatment is planned accordingly and in turn, their health
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Using an electronic device, mostly computers, to record and store relevant information is called Data Entry. Though it is time-consuming,
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Nurses are irreplaceable and a strong pillar in the healthcare industry. In recent years, similar to Telemedicine, Telenursing or Telehealth
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In the US, an agency was established to govern the various medical care programs that were in existence by the
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The World Health Organisation defines Telemedicine as “The delivery of healthcare services, where distance is a critical factor, by all
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Documentation of a patient’s clinical data and medical history is done in all healthcare practices. These are called medical charts
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In the medical service industry, recording information about patients is the norm. It is done to keep track of all
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In medical billing, reports are vital since it helps healthcare practices analyse and understand how financially healthy their practices are.
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Management of accounts receivable is vital since it helps medical practices to maximize revenues. AR management follows up claims made
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Medicines cure diseases, but only doctors can cure patients – Carl Jung. We, at Sniper Solutions, help doctors do their
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On account of errors in the claims submitted, some claims get rejected. In these cases, billers have to analyse the
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A medical coder converts physicians’ reports to medical codes. Also known as a clinical coding officer, diagnostic officer etc, a
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Healthcare coding is the process of translating important medical information into simple codes to document medical records and accuracy in
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Payment posting gives us an overview of payments and a medical practice’s financial picture. It speeds up the process of
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Claims submission is a vital part of medical billing since healthcare providers’ collection of their dues depends on this. A
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Prior to patient visits, healthcare providers check the patient’s eligibility and benefits coverage. This process is called eligibility and benefits
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Authorization obtained to cover the prescribed services by the payer before the services are rendered is called pre-authorization. The approval
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Medical billers must have a thorough knowledge not only of billing and coding but also of the costs of various
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It is necessary for healthcare facilities from large hospitals to small practices to manage the administrative and clinical functions that
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A medical biller submits claims and follows up on the claims with health insurance companies in order to make payments
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