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Showing posts with the label Medical

Medical Billing - Basic Concept of a Medical Claim Billing Process

Is your business requiring to extremely benefits of cost saving and time consuming solution? Are you searching to increase profits and productivity, reduce collection times and successfully process claims? If yes, then you are at right place. Today, most of medicare billing companies provides a wide range of services. Electronic medical billing is the process of billed and the payments which submitted to the insurance medical billing companies and the claims to insurance companies is followed up. Medical billing is one of the fastest growing and most dynamic sectors of the health care industry. The process of medical billing is follow below steps: • Claims Transmission: The hospital forwards the medical claim to billing companies. • Retrieval and Checking of Medical Claims: Companies team checks all documents. • Medical Coding: Fixed the diagnosis code for patient. • Charge Creation: Company create claim based on billing rules. • Medical Claims Audit: Check for ...

Workers Comp Insurance Fraud: Business Situations, Injuries, Medical Claims and the Unlawful

Unfortunately, the insurance industry has always reported incidents of fraud, whether it be in relation to homeowner insurance, business, auto, life, umbrella, or even bonds. No niche, however, is so vulnerable to fake claims as workers compensation. Read these eye-popping cases, and join the insurance companies’ fight against fraudulent activity. Robbing from the Rich to Give to the Poor This may seem straight from the fairy tale books, but it’s true! An elderly physician was found guilty of workers compensation fraud. His criminal activity consisted of filing dishonest insurance claims totaling more than $170,000. The ‘good’ doctor pleaded with the sentencing judge for mercy as he explained the facts of his crime. What made him different than other thieves was that he had deliberately overcharged patients who had their medical bills paid for by workers comp coverage. In this way, he was able to service patients who could not afford to pay out of their own pocke...