EMPLOYEES COMPENSATION IN MEDICAL BILLING #workcomp #claim #denial #ar #medicalbilling #healthcare

EMPLOYEES COMP IN MEDICAL BILLING: Workers Compensation rejection factors in rejection management
A) If DX code is not connected to injury:
Example: R0789- Related to Chest discomfort.
K5660- Related to Disease of intestinal tracts
– In this case, after validated that the billed DX code is
not connected to the injury. We need to get rid of ‘yes’ mark from
“EMP status” & require to get rid of the “ACCIDENT DATES”.
ACTION: REBILL THE CLAIM to exact same payer.
B) If DX code is associated with injury:
Example: S99912- Injury of left ankle and S39012A.
– In this case, after verified that the billed DX code belongs
to injury just. Required to bill the claim to WORKERS COMP PAYER.
ACTION: BILLED TO WORKERS COMP INSUARNCE. (EX: State type, All state)

# AR in Healthcare: Medical billing
#workers settlement rejection factors
#WC Scenario rejection management in medical billing
#what prevail reasons for hurt employees challenging the level of advantages or payment?
#what is employees’ payment insurance coverage
#work associated injury
# medical diagnosis unrelated to injury
# medical diagnosis associated to injury
# Changes on EMP status on medical claim type CMS 1500
# unintentional dates
# PR 19/ N418
# REBILL THE CORRECTED CLAIM OR CLONED CLAIM
# REBILLED TO WORKER COMP PAYER OR INSURANCE
# WC
# WORKERS COMP: Section 60 of the Workers Compensation Act 1987
# BASIC RCM: REVENUE CYCLE MANAGEMENT IN MEDICAL BILLING
# DATE OF SERVICE
# AR IN MEDICAL BILLING
#Accounts Receivable (AR)
#Accounts Receivable & Denial Management

https://medicalbillingcertificationprograms.org/employees-compensation-in-medical-billing-workcomp-claim-denial-ar-medicalbilling-healthcare-2/