Payer Updates Archives - Wonder Worth Solutions

What are the most common reasons claims get rejected?

June 29, 2022
Martin Jacob
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There are many reasons that a medical insurance claim can be rejected. It is important for providers to understand why a claim may not be approved so that they can avoid similar situations in the future. If your claim has been denied, don’t panic. There are many common reasons that…

May 19, 2022
Martin Jacob
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As a “secondary payer,” Medicare is the next in line to pay your medical bills. If you are covered by another insurance plan in addition to Medicare, that insurer is likely to be the primary payer of your medical bills. The primary payer will cover the claim up to his/her…

Claim Rejected By the Insurance?

Here’s the Top 5 COMMON CLAIM REJECTIONS And How To Fix It Fixing claim rejections is easy once you know what’s going on. Multiple rejection messages may appear for one entry because each payer/clearinghouse worded their rejection message differently. MISSING OR INVALID PAYER ID According to this rejection, the payer…

20 Aug 18

How to Overcome Common Documentation Errors Identified by CERT & RACS?

Common Documentation Errors Identified by CERT & RACS. The Centers for Medicare & Medicaid Services calculates the Medicare Fee-for-Service (FFS) improper payment rate through the CERT program. Each year, CERT evaluates a statistically valid stratified random sample of claims to determine if they were paid properly under Medicare coverage, coding, and…

08 Feb 18

Get More of What You Deserve In Payer Contract Negotiation

A frequent question arise from every physicians is how they can negotiate better Payer contract. It’s not easy negotiating the best Payer contract terms requires a significant amount of preparation and work along with good negotiation strategies. In addition, there are many specialty specific and practice specific nuances that physicians…

December 26, 2017
Martin Jacob
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If your practice received an electronic health record (EHR) incentive payment for either the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program, you may be subject to an audit. The best way to get ready for a meaningful use (MU) audit of your practice is to assume you…

Payer Updates

What are the most common reasons claims get rejected?

Claim Rejected By the Insurance?

How to Overcome Common Documentation Errors Identified by CERT & RACS?

Get More of What You Deserve In Payer Contract Negotiation

How to prepare your practice for a Meaningful use audit?

Collaborative Approaches: Fostering Communication Between Payers and Providers for Denial Resolution

Embracing the future: Anticipating and overcoming denial management challenges

The Ultimate Guide to DME Credentialing and Insurance Contracting for Ancillary Providers

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