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How to keep claims clean

How to Submit Clean Medical Claims for Your Practice

Nothing is more frustrating in medical billing than a claim that is denied for a clerical error. Mistakes such as these add unnecessary time to the process and can delay reimbursement, longer than one might expect. Improving the percentage of clean claims (claims without errors) will increase the timeliness of your revenue flow, and decrease […]

November is pancreatic cancer awareness month

November – Pancreatic Cancer Awareness Month

November is National Pancreatic Cancer Awareness month. According to the Pancreatic Cancer Action Network, 2019 is estimated to see upwards of 56,600 cases diagnosed. That is more than 150 people per day who will find themselves navigating the difficult waters of treatment – and how to afford it. As a medical billing company, AMPM recognizes […]

Approval from Insurance companies for medical procedures

Referral or Prior Authorization: Knowing the Difference Matters!

From the doctor’s office to the medical billing department, it is important to understand the difference between a prior authorization and a referral. A common assumption is that these terms are interchangeable. However, for medical billing purposes, this is not the case. Individually, authorizations and referrals can have a major impact on reimbursement from an […]

Filing a successful appeal

How to File a Successful Appeal

In a perfect world, all claims would be processed correctly the first time. In the world of medical billing, however, we know this is not always the case. Situations may arise where it becomes necessary to file an appeal. Knowing when and how can save time and frustration. Here are a few key steps to […]

The safe exchange of data

Medical Billing and New Medicare Identification Numbers

What are the new Medicare ID Numbers? Growing concern over fraud and identity theft has prompted the Centers for Medicare & Medicaid Services (CMS) to change how Medicare ID numbers are formatted. According to the CMS website (www.cms.gov), The Medicare Access and CHIP Re-authorization Act (MACRA) of 2015 stipulates that Social Security Numbers will no […]

What is timely filing?

What is a Timely Filing Limit and How Can it be Contested?

Denials for “Timely Filing” In medical billing, a timely filing limit is the timeframe within which a claim must be submitted to a payer.  Different payers will have different timely filing limits; some payers allow 90 days for a claim to be filed, while others will allow as much as a year.  This time frame […]

Video Capsule

Capsule Endoscopy Medicare

Guidelines for billing the Capsule to Medicare will vary between jurisdictions and as a medical biller, you need to look up the LCD that governs your state…

Colon Cancer Risk

Colon Cancer Risk

As a medical billing company, we see the benefits of colorectal screenings and the fact that they can save lives. According to Centers for Disease Control and Prevention, colorectal cancer is the…