@@vadlashivakumar7657 Mostly You can adjust. Or appeal with medical records to prove the Medical necessity. Or need to get client approval for next action. (Depends client protocols)
1st check,if claim denied for emergencies room services, 1st check claim form is billed with pos 23 or not. If not bill with pos 23. If already billed with pos 23, call n probe the same on phone call and sent claim back for reprocessing. Note: if pt plan doesn't have ER benefits. Call n confirm the same and do bill pt.
1st check,if claim denied for emergencies room services, 1st check claim form is billed with pos 23 or not. If not bill with pos 23. If already billed with pos 23, call n probe the same on phone call and sent claim back for reprocessing. Note: if pt plan doesn't have ER benefits. Call n confirm the same and do bill pt.
Very informative but you voice is too slow.
Background music really sucks pls remove it.. We cannot concentrate on the actual subject
can u make video on Adjudication in medical billing and also QMB SLMB and QI plan in Medicaid
Hi Harry Harry...Sure I will do videos on Adjudication & MCR/MCD saving programs (QI, QDI , QMB, SLMB and FPL) Thank you for addressing.
where we can check member plan & eligibility like what is the software name where we can check all these details
respective web portals like: Availity, trizetto, epremis, Gateway, emdeon, UHC........
@@PKRVibesCareerGrowth Thanks for the replay buddy keep posted the helpfull videos
If it is provider plan what will do
Hi..Can we have any SOP for all denials. So that we can refer it while speaking with the rep..
Not yet bro..Thank you for suggestion, noted and will plan soon.
Please let me know where can i get the SOP for all denials
Not possible to get in single document bro. It is better to explore all denials and make a note in your book/word/excel.
Sir if provider side what to do?
@@vadlashivakumar7657 Mostly You can adjust. Or appeal with medical records to prove the Medical necessity. Or need to get client approval for next action. (Depends client protocols)
@PKRVibesCareerGrowth thnk you sir
Pls udate denial c040
1st check,if claim denied for emergencies room services, 1st check claim form is billed with pos 23 or not. If not bill with pos 23. If already billed with pos 23, call n probe the same on phone call and sent claim back for reprocessing.
Note: if pt plan doesn't have ER benefits. Call n confirm the same and do bill pt.
bro make the videos in hindi❤️
❤️ I don't know Hindi brother. 🤗
Any one knows kindly tell
1st check,if claim denied for emergencies room services, 1st check claim form is billed with pos 23 or not. If not bill with pos 23. If already billed with pos 23, call n probe the same on phone call and sent claim back for reprocessing.
Note: if pt plan doesn't have ER benefits. Call n confirm the same and do bill pt.
You are sharing subject here, I don't know why u had add BGM like in shopping malls. Really disgusting
Okay I play stop BGM. Thank you Shaik.