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Medical Claims

medical claim data errors
02 Sep
Medical Claims

Medical Claim Data Errors: A Pre-Submission Checklist for Cleaner Claims

  • September 2, 2026
  • By author-avatar Shawn Josh
  • 0 comments
Medical claim data errors are the incomplete or inconsistent patient, payer, provider, location, authorization, and service details tha...

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AR cleanup when changing billing companies
02 Sep
Medical Billing, Medical Claims

A/R Cleanup When Changing Billing Companies: Who Owns Old Claims?

  • September 2, 2026
  • By author-avatar Shawn Josh
  • 0 comments
When a practice changes billing companies, the old claims already in progress, the legacy accounts receivable, need an explicit owner, ...

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dental claim attachments
12 Aug
Medical Claims

How Can Dental Claim Attachments Prevent EOB and Secondary Claim Delays?

  • August 13, 2026
  • By author-avatar Shawn Josh
  • 0 comments
A dental claim goes out for a crown, and it comes back needing an X-ray, or a periodontal claim stalls because the charting was not att...

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medical transcription accuracy
28 Jul
Medical Claims, Medical Coding

How Does Medical Transcription Accuracy Affect Coding, Claims, and Reimbursement?

  • August 13, 2026
  • By author-avatar Clinton Roman
  • 0 comments
A physician dictates a thorough note, the transcription drops a single detail, and the coder codes what is on the page. The claim goes ...

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pre bill denial prevention
28 Jul
Medical Claims

How Can Practices Build a Pre Bill Denial Prevention Workflow?

  • August 13, 2026
  • By author-avatar Shawn Josh
  • 0 comments
Most practices work denials after they happen. A claim comes back denied, someone figures out why, fixes it, and resubmits, and the cyc...

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payer contract underpayment
28 Jul
Medical Claims

How Does Payer Contract Underpayment Create Adjustments and Write-Offs?

  • August 13, 2026
  • By author-avatar Shawn Josh
  • 0 comments
A claim gets paid, the balance zeroes out, and the account looks closed. On paper, it is a win. In reality, the payer paid 12 percent l...

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medical claim attachments
28 Jul
Medical Claims

What Medical Claim Attachments Do Payers Need Before They Delay or Reject a Claim?

  • August 13, 2026
  • By author-avatar Shawn Josh
  • 0 comments
A claim goes out clean, and weeks later it comes back with a request for records, or a denial that says documentation was not received....

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clean medical claim definition
16 Jul
Medical Claims

Clean Claims: What Makes a Medical Claim Clean?

  • July 16, 2026
  • By author-avatar Shawn Josh
  • 0 comments
Medical billing services is the backbone of a healthcare provider's revenue cycle. Each claim made to an insurance payer has an impact ...

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medical claims clearinghouse
16 Jul
Medical Claims

The Role of Clearinghouses in Medical Claims Processing

  • July 16, 2026
  • By author-avatar Shawn Josh
  • 0 comments
The healthcare industry is becoming more demanding of healthcare providers to ensure proper claims are being submitted, payment delays ...

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timely filing rules medical claims
16 Jul
Medical Claims

Understanding Timely Filing Rules for Medical Claims

  • July 16, 2026
  • By author-avatar Shawn Josh
  • 0 comments
One of the key roles in medical billing is timely claims submission to the insurance provider. Whether or not the claim is perfectly co...

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  • Home
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