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Medical Claim Tracking Tool from Emdeon

Emdeon Vision for Claim Management is a new, free, self-service tool available to providers.  Track your claims from submission through payment. This tool allows you the same claim views as payers....

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10 Features to consider when choosing Medical Billing Software

The importance of choosing the best Medical Billing System for your Practice or Billing Service is one that has lasting implications and shouldn’t be taken lightly. That’s why we’ve compiled a list of...

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Obamacare and HIPAA Transactions

   HIPAA legislation introduced the current standards for certain electronic transactions now familiar in the healthcare industry.  These included the healthcare claim (837i and 837p), ERA (835), claim...

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MEDTranDirect Introduces Roster Billing

It’s that time of the year again.  I’m not talking about turkey dinners or holiday shopping, flu season is coming.  Many healthcare providers, retail organizations, and employers are offering flu shots...

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The Impact of ICD-10 on the ANSI 837

Not since the introduction of HIPAA transactions over 15 years ago has there been a project that impacts healthcare data processing like the implementation of ICD-10.  This code set conversion impacts...

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Medicare Eligibility through HETS and the Hospice Notice of Election (NOE)

Medicare maintains a computer system dedicated to the processing of eligibility requests through the HIPAA ANSI 270/271 transactions designed for this purpose. The system is called HETS which stands...

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The National Health Plan Identifier – A Lesson in Restraint

The administrative simplification portion of the HIPAA legislation was intended to modernize healthcare transactions by creating a uniform data exchange that could be implemented by all healthcare...

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Electronic Claim Processing – Can Your Software Do Math?

As a vendor of software that edits and creates ANSI 837 claim files, we try to stay informed regarding the processing of these transactions.  One method that I recommend for all Medicare providers is...

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Opposition to ICD10 – A Perspective of Self Interest

Last week I read several articles about the current efforts to delay the implementation of ICD10 by the AMA and some of our congressmen, possibly influenced by this organization.  Their extremely weak...

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The Double Standard for Healthcare Data

Healthcare providers collect an extensive amount of data regarding their patient’s medical history. Most providers understand the importance of maintaining accurate and complete health records....

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Moving from ICD9 to ICD10 – Dealing with the Transition and Learning from the...

As the healthcare industry prepares for the October transition from ICD9 to ICD10, many organizations are dealing with the obvious issues.  Computer systems are being upgraded to handle the new codes,...

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A Summary of Pre-Claim Review for Home Health Agencies

By now, home health agencies are well aware of the new program under development by CMS to crack down on what they believe is a major problem with improper payments for their services.  This is...

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NOE Happy Dance was Momentary

Many Hospice organizations breathed a sigh of relief when the headlines read, “CMS Allows Exception for Untimely NOEs When Hospice Cannot Make Corrections While NOE Processing through System“.  But...

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