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Department of Insurance Helps Increase Clinic Bottom Line

What could your clinic do with an additional $6000?  Or much more?  What if you had an ally in the government who could and would be willing to assist you?   An often forgotten or under-utilized ally is your state’s Department of Insurance.  We are HRS have had great success by relying on our allies at […]

Today’s Tip: Submitting Paper Secondary Claims

A good number of provider offices are still submitting secondary claims on paper rather than electronically for a variety of reasons.  Today’s tip was written with the goal of reducing the number of denied secondary paper claims by making just a  few simple changes. Basic information New billing staff should understand that the secondary insurance […]

Texas Worker’s Compensation and Preauthorization Rules

There seems to be confusion among healthcare providers and their staff regarding which services must be preauthorized under Texas Worker’s Compensation rules, what is required of the provider, and what are the obligations of the carrier. A number of treatments and services do require preauthorization, below are just a few: Inpatient hospital admissions Surgical procedures […]

Out of Pockets and Deductibles

Please Explain Out of Pockets and Deductibles As in yesterday’s topic, many clinic staff members seem to think that these two terms mean one in the same thing.  The results can be less than desirable if the difference between out of pockets and deductibles is not clearly understood. In a nutshell: Out of Pocket (OOP) […]

Co-pays vs. Co-insurance

Please Explain Co-pays versus Co-insurance I am often asked by providers and their staff to explain what each of these terms actually means.  Some mistakenly believe that the two terms are interchangeable. I discovered that many times when a patient had for example, a 20% coinsurance, the staff would charge the patient $20 a visit […]

Today’s Tips

As you may have figured out by now, complete and accurate VOBs are one of my pet peeves!  We at CRT regularly update our forms to stay on top of the latest developments and the changing needs of our clients. DO review and evaluate your VOB form often and make note of any changes that […]

Today's Tips

As you may have figured out by now, complete and accurate VOBs are one of my pet peeves!  We at CRT regularly update our forms to stay on top of the latest developments and the changing needs of our clients. DO review and evaluate your VOB form often and make note of any changes that […]

Welcome!

I am so excited to be starting my blog and get it up and running!  I have a long way to go but this is a start right? As a certified medical reimbursement specialist, it is important for me to stay current with what is happening in the healthcare industry and to share that information […]