E-care India PVT LTD

  Charge Entry Charge entry has a remarkable and significant task to carry out in specifying charges with accurate medical codes and appropriate fee schedule.  The billed Amount for the service delivered needs to be captured accurately during charge entry for enhanced reimbursement. . This process needs more attention and exact information for the data entry. While entering the charges, charge entry specialists should update the demographic and insurance related information in the billing system. After the service is performed and appropriate procedure and diagnosis codes should be updated with the coding information like CPT modifiers, prior authorizations number, Provider details, accurate data of service and specify the right doctor. The subsequent stage is entering the right CPT and HCPCS codes that will append a charge for the visit. If these things are not entered accurately, the result is regularly denied or delayed claims  and also it makes potential risks for fut...

For successful radiology practices, error-free claim and timely submission is one of the key aspects that improve practice cash flow but also reduce the overall billing cost.   In radiology billing services , most of the medical claims are denied by the payers due to some reasons. Incorrect information of patient’s insurance coverage, eligibility is one of the main reasons for radiology claim denials. Let’s discuss the reason for radiology claim denials and how to avoid them. Focus on Insurance Plan Information  Having right insurance plan is an important element in medical billing.   Collect the below details to get the full reimbursement without any rejections. Name of the plan Subscriber Name Group number Coverage effective dates Secondary /supplemental coverage Verify Basic Demographic Details of the Patient: Ensure the patient fills all the details without any error at the time of registration.   Below is the checklist to be verified: Pat...