If there's any process that seems designed to confuse and infuriate physicians and practice managers, it's the medical claims process.
The process is fraught with opportunities to lose money: Denials. Confusing explanation codes. Changing payer policies.
But this handy chart should help you get started on plugging the leaks in your own claims process. It's a simple, easy way of understanding where those leaks are likely to be so you can take action to fix them.
Every practice's billing manager should have this chart printed out and pinned up near their desk.
It only takes a moment to review it. But it can cost you a fortune
Advanced Search
There are 3 types of search. Please only use one option at a time.
1) Build a boolean search string.
Ensure that document matches include.3.
2) Search for a phrase:
3) Search on part of a word:
Information on how to use Search
There are 2 types of basic queries: Terms and Phrases.
A Term is a single word search.
A Phrase would wrap a string of words in quotes and find matches on the extact string.
Boolean Operators You can combine basic queries with Boolean operators to form a more complex query. Boolean operators define the relationships between Terms or Phrases. Our search supports the following Boolean operators: AND, "+", OR, NOT and "-". Please note that Boolean operators must be all uppercase.
AND example search: default AND document
This is the default operator. It will be used if there is no Boolean operator between two terms. For example:
default document is the same as default AND document. In this case both terms need to exist within a listing to find a match on that listing.The + character is synonymous with using AND.
OR example search: default OR document
In this case just one of the terms needs to exist within a listing to find a match on that listing.
NOT example search: default NOT "document type"
The NOT operator excludes documents that contain the term (or phrase) after NOT. So a listing match would have to include the word default but not the phrase "document type". The - character is synonymous with using NOT.
Wildcard/Prefix queries You can perform "wildcard" or "prefix" queries using the '*' operator. Whereas all of the previous search found exact matches on the whole term or phrase, a wildcard search will find partial matches.
example search: ehr*
This query will match all documents containing words beginning with the prefix 'ehr' like the word Ehrlichia.