Medical Claims

15 Jul

Medical Claims

Why Do Clean Claims Still Get Denied After Passing Claim Scrubbing?

• August 13, 2026
• By Shawn Josh
• 0 comments

Your scrubber cleared the claim. The dashboard showed a clean claim rate you were proud of. Three weeks later, the remittance comes bac...

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29 Jun

Medical Billing, Medical Claims

How Medical Claim Adjudication Process: A Step-by-Step Guide

• July 16, 2026
• By Shawn Josh
• 0 comments

One of the most important processes in the healthcare revenue cycle is the medical claim adjudication process. Healthcare providers mak...

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11 Jun

Medical Claims

Refunds, Recoupments, and Future Claim Payments: How to Separate Each Revenue Cycle Event

• June 11, 2026
• By Shawn Josh
• 0 comments

Healthcare organizations process thousands of transactions each month, such as claim payment, refund, adjustment and recovery from paye...

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11 Jun

Medical Claims

Future Payments of Claims: How Payer Offsets Affect Practice Cash Flow

• June 11, 2026
• By Shawn Josh
• 0 comments

Streamlined reimbursements help healthcare providers stay financially stable, fund operational needs, and allocate resources for patien...

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20 Apr

Medical Claims

Claim Frequency Codes in Medical Billing: When to Use 1, 7, and 8

• April 21, 2026
• By Shawn Josh
• 0 comments

Claim frequency codes of medical billing are a very important aspect of the complex world of revenue cycle management that involves det...

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31 Mar

Medical Claims, Medical Coding

CMS-1500 vs UB-04: Which Claim Form Should You Use?

• April 10, 2026
• By Shawn Josh
• 0 comments

In healthcare billing, picking the right claim form is very important for getting the right amount of money back. One of the most impor...

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16 Mar

Medical Claims

How to audit medical claims

• April 10, 2026
• By Shawn Josh
• 0 comments

In the high-stakes healthcare environment of medical billing, where denials of claims can leech as much as 20% of potential revenue and...

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20 May

General, Medical Billing, Medical Claims

Medical Billing and Coding Examples: Best Practices for Accurate Claims Processing

• January 13, 2025
• By Patrick Harris

Medical billing and coding are essential processes in the healthcare industry that bridge the gap between health...

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29 Apr

Credentialing Corner, General, Medical Claims

Unlocking Growth – The Impact of Effective Medical Credentialing Services

• May 27, 2024
• By Patrick Harris

In the present complex medical care landscape, the job of medical credentialing services couldn't possibly be mo...

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19 Apr

Medical Billing, Medical Claims

How to Negotiate Medical Bills: Strategies for Reducing Your Healthcare Costs

• January 13, 2025
• By Patrick Harris

Interpreting Insurance Charges After a healthcare service, an indi...

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