Author: medmiles

Electronic medical records (EMRs) are the digital equivalent of paper charts in a provider’s office. They contain the medical and treatment history of the patients and are limited to these two aspects only. This means that no data is kept in them other than “medical” information about the patient. So, we are now learning about...

Clearinghouse services perform a process known as claims clearing. This means they check insurance claims for errors and make sure they match the payer’s software. The clearinghouse process also ensures that each claim’s diagnostic and procedure codes are valid and appropriate. This helps prevent processing errors. So, now we are going to discss role of...

High-deductible healthcare plans, co-pays, and out-of-pocket medical expenses have contributed to the emergence of healthcare consumerism. An effort to make health care services more efficient and effective by putting purchasing power in the hands of the patient. Because of this, the burden of paying for health care falls on patients. And health systems have less...

A clean claim is a claim filed without any errors or other issues, including incomplete documentation that delays timely payment. There are several required elements for a clean claim, and medical bills are rejected if the elements are incomplete, illegible, or inaccurate. A clean claim ratio encounters all of the following requirements:n n Sufficiently identifies...

In current healthcare exercises, hospitals spend a lot of time and money on sufferer discharges. To this end, most healthcare organisations hire full-time employees who are entirely responsible for managing patient records. Responsibilities include mailing, printing, and managing the logistics of patient medical bills. On the other hand, some outsource this process to technology companies...