by admin | Sep 4, 2018 | Denials, Denials Management, Health Care Finance, Hospital Revenue Cycle, Medical Billing, Revenue Cycle KPI's
Two metrics important to the discussion of creating claims most likely to be immediately reimbursable are Clean Claim Rate (CCR) and First Pass Rate (FPR). Though sometimes confused for one another, these are separate statistics, each worthy of optimization....
by Ed Slingsby | Sep 24, 2015 | Health Care Finance, Medical Billing, Patient Billing
http://www.hfma.org/Content.aspx?id=32027#.VgNfflVcR_w.mailto Financial assistance programs IRS rules on hospital FAP’s Share...
by admin | Sep 2, 2014 | BCBS, Insurance Claims, Medical Billing
Lots of great information to research BCBS claims Share...
by admin | Mar 21, 2014 | Medical Billing, Medicare, Patient Billing
With the two midnight rule becoming effective, this website is a good resource for information. Office of Medicare Hearings and Appeals (OMHA) OMHA administers appeal hearings for the Medicare program. There are five levels in the Medicare claims appeal...
by admin | Nov 27, 2013 | Medical Billing
Medical Billing Best Practices: Metrics and Key Performance Indicators Below is a sample from a recent blog I saw concerning some of the best metrics (Key Performance Indicators -KPI’s) for Medical billing. How does your medical billing department stack...