Anatomy Of The Medicare Appeals Process

Medicare Appeals

Medicare Appeals By Kellie Mattos, C.A.C. How to be a WINNER with Medicare appeals. Medicare appeals can be time-consuming and tedious with, frequently, no positive outcome for your effort. Today I am going to talk about the importance of appeals and how to win them! Anatomy of an Appeal- Time...

AIF Announced For Calendar Year 2021

AIF Announced for Calendar Year 2021

AIF Announced for Calendar Year 2021 Christmas-like Anticipation Do you remember what it was like when you were a kid and Christmas was right around the corner? You probably couldn’t wait for the big day when Santa would bring you that awesome new bicycle, video game or Barbie doll, right?...

Revised Repayment Terms For Covid Accelerated And Advance Medicare Payments

Revised Repayment Terms for COVID Accelerated and Advance Medicare Payments

Revised Repayment Terms for COVID Accelerated and Advance Medicare Payments A few months ago… When the COVID-19 Public Health Emergency was announced in Washington, DC and quarantine at home orders led to the unprecedented nearly complete shuttering of America, the Federal Government gave healthcare providers and suppliers the opportunity to...

Claim Rejections -vs- Claim Denials

Claim Rejections vs. Claim Denials ─ What’s the Difference?

Claim Rejections vs. Claim Denials ─ What’s the Difference? Claims Errors The healthcare billing industry has seen its ups and downs over the years – but one would surely think that advances in billing technology would have made claim errors a rare occurrence.    Think again! The industry still experiences an...

Guiding -vs- Chasing Reimbursement

Guiding -vs- Chasing Reimbursement

Guiding -vs- Chasing Reimbursement By Brigit Battaglia Brigit Battaglia, CAC is Director of Process Design and Optimization at Quick Med Claims. Brigit has deep experience in the areas of process development, AI/machine learning, transportation billing and performance improvement gleaned from 12 years in the EMS billing industry.  Ever heard someone...

Surprise Medical Bills And Balance Billing Part 3 Understanding The Disease

Surprise Medical Bills And Balance Billing-Part 3: Finding a Cure

Surprise Medical Bills And Balance Billing Treat the Symptoms or the Virus? There has been a lot of talk about “Surprise Medical Bills” and “Balance Billing” in the news lately, but is this really the problem or might we be missing something? We’ll examine the causes behind this troubling trend...

Surprise Medical Bills And Balance Billing-Part 2: Treating The Disease

Surprise Medical Bills And Balance Billing-Part 2: Treating the Disease

Surprise Medical Bills And Balance Billing Check out the second post in our three-part series about Surprise Medical Bills and Balance Billing where we take a closer look at the problem and start to explore the solutions. Ed Marasco, MPM, CMTE, EMT-P (Ret.) is Vice President of Business Development at...

Surprise Medical Bills And Balance Billing-Part 1: Understanding The Disease

Surprise Medical Bills And Balance Billing-Part 1: Understanding the Disease

Surprise Medical Bills And Balance Billing There’s has been a lot of talk about “Surprise Medical Bills” and “Balance Billing” in the news lately, but is this really the problem or might we be missing something? We’ll examine the causes behind this troubling trend and see if we can find...

Coronavirus: Beyond The Pandemic Response

Coronavirus: Beyond The Pandemic Response

Coronavirus: Beyond The Pandemic Response A View From The Desk Of Ed Marasco Not Since 9/11 The Coronavirus Pandemic is consuming almost all aspects of our daily life. New information is emerging hourly and access to this information is unprecedented. Our communities are engulfed by information from medical experts about...

Peeling Back The Layers Of The Cost Data Collection Instrument Part II

Peeling Back the Layers of the Cost Data Collection Instrument…

Peeling Back the Layers of the Cost Data Collection Instrument… Section 5: Service Volume Part Two We continue our series of blog posts to dissect the Cost Data Reporting mandate and the online reporting instrument that CMS will use to collect the data. Our last blog post, focused on Section...