- Payment from a third-party payer after submission of a paper claim should occur within 4 to 12 weeks, and for an electronic claim it should occur within 7 days. When a payment problem develops and the insurance company is slow, ignored, denies, or exceeds time limits, contact the third-party payer.
- An explanation of benefits (EOB) or electronic remittance advice (RA) should be read and interpreted line-by-line, checked to establish whether the amount paid is correct, and amounts posted to each patient's financial account.
Internet Resources for Receiving Payments
Receiving Payments and Insurance Problem-Solving
Finance Information Center: Billing / Coding / Reimbursement Online resources from HCPro A "provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance."
Your Guide to Medicare Medical Savings Accounts (MSA) Plans The official government booklet from Centers for Medicare and Medicaid Services.
The Official U.S. Government Site for Medicare Information Includes a glossary of terms.
QuickBooks Support Site Includes online videos for troubleshooting problems.
Journals
Appeal Letters Online Online newsletter for regulatory information on appeals, from the commercial site Appeal Solutions.
Agencies, Organizations and Associations
American Bankers Association There is also an online site for the ABA Banking Journal Online.
American Medical Billing Association - AMBA Sponsors a certification examination for Certified Medical Reimbursement Specialist (CMRS).
NDCLytec Commercial company for practice management and billing software.
No comments:
Post a Comment