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Saturday 3 August 2013

Five Ways to Better Denial Management for Physicians

Denial management is one of the crucial aspects for a physician and can assist in improving the revenue cycle management. This can not only reduce errors while managing claim denials but also help in increasing the physician's revenue. This process is carried out by medical billers and coders who have specialized knowledge in the field and are aware of its legal aspects. Efficient denial management can increase the revenue in numerous ways; some of which are obvious while others enhance the revenue in an indirect manner. 

Specialized medical billers and coders 

Medical billers who are experienced and specialized in this field can perform better by utilizing their skills with incisive understanding of why the claim was denied in the first place. Specialized billers also represent your case strongly when the claim is correctly filed and the payer denies the claim on unclear grounds. Denial ratios are steadily increasing with payers in the given healthcare scenario. 

Analysis 

The best way to speed up the process of denial management is to analyze the grounds on which the claims are denied. Once the reason for claim denial is known, it becomes easier for medical billers and coders to correct the error and receive the deserved reimbursement. In Denial Management, Root cause analysis is more important than re-filing the claim. 

Moreover, once the reasons for revenue leakage have been identified, any further loss can be pre-empted or stopped before it has occurred for the first time. Proactive Denial Management can increase the cash flow and the revenue by almost 10% by reducing the number of first-time claim denials. 

Expertise 

Denial management can involve communication with various entities and it is important to be trained in the process of collections from such entities. These involve recovering collectibles from any of the payers such as Medicare, Medicaid, BCBS, United Healthcare, Aetna and many local payers. 

Appeals 

A crucial part of claims denials is appeals and these are explanations for re-eligibility of the claim for payment which was denied earlier. Since these claims can only be appealed within a set period of time, it becomes important to prioritize them. Not every claim can be appealed thus this tool must be used judiciously. The Billing specialist must also possess the skill required to write appeal letters as the explanation with correction is what gets you paid in most cases. 

Prioritize Denials as per value 

Managing denied claims or appealing them can be made cost effective by reviewing the most commonly denied claims according to the dollar value and volume. This helps in determining which claims should be given the most importance and which are less likely to produce positive results. This can assist in cutting costs as well as saving time in the revenue cycle management. 

Medical billing and coding specialists at medicalbillersandcoders.com are experienced in denial management and are skilled in other areas of medical billing and coding services such as charge entry, payment posting, credentialing, and managing accounts receivables. 

For further information and medical billing and coding services please visit Austin Medical Billing (http://www.medicalbillersandcoders.com/city/austin-texas-medical-billing-specialist.html), Baltimore Medical Billing (http://www.medicalbillersandcoders.com/city/baltimore-maryland-medical-billing-specialist.html), Birmingham Medical Billing (http://www.medicalbillersandcoders.com/city/birmingham-alabama-medical-billing-specialist.html)

Article Source:
http://www.articlecity.com/articles/health/article_12486.shtml

Friday 2 August 2013

The number 1 killer in the United States and how you can beat it

Do you know what the number one killer in much of the developed world and especially the United States is? The answer is heart disease. With all the junk food that is available nowadays heart disease has turned in to the biggest killer today. So how can we beat this serial killer and add a few more years to our lives you ask? The answer is simple. We just need to eat healthier and the risk or contracting any sort of heart problem is greatly reduced. In fact you can add about 15 years to your life by just changing a few things in your diet. 

The answer is really eating more raw foods and mostly vegetable foods. Raw vegetable foods contain zero cholestrol which is what causes heart disease in the first place.The reason people in the past sought to cook food so much is that it was often dirty and it would make us sick if we tried to consume it as it was. In African villages, people that do not have running water must go to the rivers and get it from there. Of course it is not clean so what do they do? They boil it first to kill the germs and then let it cool and then they will drink it. Nowadays the food we get from the stores is basically edible when we get it. We also wash the food at home so it is very safe for us to consume already. That means we are not taking any risks if we go raw with out diets, or at least replace some of our unhealthy eating habits with raw food. 

Some people might be asking what is the main difference between raw and cooked food? Well the thing is when food is being cooked, the temperatures get so high that most of the nutrients present in the food will be destroyed! That means that we are not getting in as many nutrients as we would be led to believe. Many diseases that are prevalent today come about because people do not get as many nutrients as they should from the food they are eating. 

When you eat raw clean food, you can rest assured that you will not miss out on any essential nutrients inside the food. Some people may also ask what the nutrients can do for them? Well the biggest thing is that they can easily prevent you from contracting any annoying niggling illnesses. Many people who have gone raw have not had any slight sign of the flu or cold in many years. Some even say it has been more than 15 years since they were last sick! 

With all the advances in science and medicine, people in the developing world now have a life expectancy which is very high. Sometimes it is over 80 years old and that is despite people eating all of this unhealthy food. How many more years can we add to this if we all went raw? Maybe another 15 years! Japan has so many people living to an old age, probably because they eat so much raw food such as sushi, that it is actually becoming a huge problem for them! 

Now going raw is a process and it is not going to happen overnight, but you have to take responsibility for your health. There are so many raw food recipes for beginners out there that you can try and they are very tasty. In fact you can save money and time because you do not have to stand around cooking food for so long. The many raw food recipes for beginners are easy to prepare and you will not regret as least incorporating a bit of raw food in your diet. There are also many other benefits you can get from raw food

Article Source:
http://www.articlecity.com/articles/health/article_12485.shtml