Denied Medical Claims vs Rejected Medical Claims

Denied Medical Claims vs. Rejected Medical Claims

By Raul Neyra / September 16, 2021 / 0 Comments

Reading Time: 3 minutes Most of us are used to being billed for a variety of services rendered, such as for plumbing fixes. You receive a bill outlining the work done and you pay it. Simple. However, medical billing isn’t as easy as that. Providers don’t just send a bill to the insurance company and receive payment. It is […]

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medical coding

The Issue of Overcoding and Undercoding

By Raul Neyra / September 13, 2021 / 0 Comments

Reading Time: 3 minutes Medical coding is necessary for physicians to get reimbursed for services rendered. To get paid their contracted rate by insurance companies, physicians have to code procedures accurately to reflect the services rendered.  But the job of coding medical claims is complicated.  There are thousands of codes and compliance rules and you have to be able […]

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Medical Authorizations

The Difference Between Medical Authorizations and Referrals

By Raul Neyra / September 2, 2021 / 0 Comments

Reading Time: 3 minutes Managed care brought about so much more administrative work to the healthcare industry than there had ever been before. To make it even more complicated each insurance company has a different set of rules and guidelines that must be followed. What if a patient needs to see a specialist? Or needs to have a procedure […]

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