New Medicare Card: Claim Reject Codes After January 1, 2020

New Medicare Card: Claim Reject Codes After January 1, 2020

Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use Medicare Beneficiary Identifiers on claims (with a few exceptions) after January 1, you will get: Electronic claims reject codes: Claims Status Category Code of A7 (acknowledgment rejected...
Reduce Administrative Complexity to Diminish Healthcare Waste

Reduce Administrative Complexity to Diminish Healthcare Waste

Administrative complexity is the biggest contributor to overall healthcare waste in the U.S., according to a new study published in the Journal of the American Medical Association. The study, entitled, “Waste in the US Health Care System,” found that administrative...
ICD-10: Be Sure To Use Specificity in Your Documentation in Order To Avoid Denials

ICD-10: Be Sure To Use Specificity in Your Documentation in Order To Avoid Denials

Specificity in documentation allows for the most accurate ICD-10 code choices. At this time more and more payors are denying medical claims when you use a diagnosis code(s) that are unspecified. Please do whatever you can to use specificity in your code choices such...
Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

These CPT Category II codes can be billed once per member per service per calendar year. The CPT Category II codes are:  3117F – for patients who have congestive heart failure; heart failure disease-specific structured assessment tool completed. Provider completes...
Our Client told us Minimized Medical Denials Delivered Growth

Our Client told us Minimized Medical Denials Delivered Growth

“At ebix, the coders are trained to look at the physician’s coding and check to ensure the physician is documenting properly. ebix’s physician education, with auditing, provides the on-going feedback to combine sound documentation principles and implement the use of...