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. HFMA identifies the value of CCR as an indicator of the quality of data collected and reported. […]
Developing Financial Assistance Policies with the Latest IRS Rules in Mind
http://www.hfma.org/Content.aspx?id=32027#.VgNfflVcR_w.mailto Financial assistance programs IRS rules on hospital FAP’s
Blue Cross Blue Shield Directory
Lots of great information to research BCBS claims
Office of Medicare Hearings and Appeals (OMHA)
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 process. OMHA’s Administrative Law Judges hold hearings and issue decisions related to Medicare coverage […]
Medical Billing Best Practices: Metrics and Key Performance Indicators
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 up to industry best practices? This is a question that is unfortunately not asked very often […]
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