BILLING HORIZON BLOG
Understand the Rule. Improve the Next Decision.
Practical perspectives on the details that move revenue: documentation, payer requirements, system handoffs, and the decisions behind each claim.
Follow the Money and Its Explanation A bank deposit confirms receipt of funds. The electronic remittance advice explains how the payer processed …
A clearinghouse or payer rejection can prevent a claim from entering adjudication. A denial follows a payer decision on a processed claim. …
A signature establishes completion of the note; it does not resolve every coding question. A review may still need the documented service, …