Practice Management Alert
Recipe for Billing Success:
Drive Your Capitation Status Home Every Time
Published on Wed Apr 16, 2008
Avoid hassles by sending a form letter to secondary payers If secondary payers keep processing your capitation claims and paying you in full, here's a helpful tip. Attach a form letter like this one from Melinda S. Brown, CMBS, insurance biller for a primary-care provider in Kennewick, Wash., to the explanation of benefits (EOB) that you submit to the secondary payer. Hopefully this will alert them of your physician's capitation status and you won't have to keep sending refunds because they-re overpaying you. For more information: To learn more about capitation, read the article in Medical Office Billing & Collections Alert Vol. 8, No. 4 "Capitation May Be on the Horizon: Get Ready."
Other Articles in this issue of
Practice Management Alert
- Have Your NPI Stars Aligned? Now's the Time
Key: Check your NPPES record and make the necessary corrections May 23, 2008. The National [...] - You Be the Billing Expert:
Duplicate Claims Submission
Question: We have several claims that our payer is taking more than 30 days to [...] - Finally, the Time's Come to Adopt the New ABN
Bonus: NEMBs may be a thing of the past Billers have been waiting for months [...] - Increase Your ABN Know-How With These 5 Sample Scenarios
The new ABN is only good news if you know when to use it and [...] - Recipe for Billing Success:
Drive Your Capitation Status Home Every Time
Avoid hassles by sending a form letter to secondary payers If secondary payers keep processing [...] - Reader Questions:
Age Is a Factor in Financial Responsibility
Question: We have a patient who is covered by his mother's insurance, but he is [...] - Reader Questions:
Offer a Cost Range for Self-Pay Patients
Question: Our office is trying to figure out how to increase the collection rate for [...] - Reader Questions:
Apply Incident-To Based on Payer
Question: My physician hired a physician assistant (PA) whom he is going to pay an [...] - Reader Questions:
Get a Handle on Timely Filing Date Rules
Question: What is the best way to handle a claim that is past the timely [...] - Payer Updates:
One Payer Questions Cost-Benefit of EMR Systems
And in denial news, TrailBlazer shares a top-10 list to avoid Some practices have been [...]
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