Fully 40% of a practice’s problem claims are related to insurance eligibility. We cannot stress enough the importance of making insurance verification a part of every patient’s visit every time. Problems include: insurance company changes the ID number, patient changes employment and doesn’t know their new insurance, or the patient switches from one Medicare or [...]

There are lots of reasons for claim denials, but most can be easily prevented.  Here are a few simple steps that are imperative to reduce claim denials. Problem: Clerical Errors This is the number one reason that we believe claims are denied in the typical medical practice.  Some potential problems: the name is spelled wrong [...]

Do your patient intake forms still ask for a patient’s social security number (SSN)? Why? You don’t really need it. I know, you’re thinking, “But we’ve always asked for a patient’s SSN! The insurance company requires it!” Not true. If you look at the data in an electronic claim file, you will not find the patient’s [...]