enow.com Web Search

Search results

  1. Results from the WOW.Com Content Network
  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Achieving a high clean claims rate is a key metric for measuring the efficiency of the billing cycle. Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4] Once the payor receives ...

  3. Adjudication - Wikipedia

    en.wikipedia.org/wiki/Adjudication

    After the claims adjudication process is complete, the insurance company often sends a letter to the person filing the claim describing the outcome. The letter, which is sometimes referred to as remittance advice, includes a statement as to whether the claim was denied or approved. If the company denied the claim, it has to provide an ...

  4. Explanation of benefits - Wikipedia

    en.wikipedia.org/wiki/Explanation_of_benefits

    An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:

  5. Medically Unlikely Edit - Wikipedia

    en.wikipedia.org/wiki/Medically_Unlikely_Edit

    A Medically Unlikely Edit (MUE) is a US Medicare unit of service claim edit applied to Medical claims against a procedure code for medical services rendered by one provider/supplier to one patient on one day. Claim edits compare different values on medical claim to a set of defined criteria to check for irregularities, often in an automated ...

  6. California gets new rules covering medical malpractice ... - AOL

    www.aol.com/news/california-gets-rules-covering...

    A Times investigation in December found that since 2013, the Medical Board of California has reinstated 10 physicians who had lost their licenses for sexual misconduct. They included two doctors ...

  7. Writ of mandate (California) - Wikipedia

    en.wikipedia.org/wiki/Writ_of_mandate_(California)

    In 1936, the Supreme Court of California held that because the state constitution reserves judicial decisionmaking to the judicial branch, it lacked jurisdiction to issue a writ of certiorari to review the decision of a state board unless that board had been expressly authorized by the state constitution to exercise judicial power. [34]

  8. Medical Injury Compensation Reform Act - Wikipedia

    en.wikipedia.org/wiki/Medical_Injury...

    The Medical Injury Compensation Reform Act (MICRA) of 1975 was a statute enacted by the California Legislature in September 1975 [1] and signed into law by Governor Jerry Brown in September. [2] This Act was intended to lower medical malpractice liability insurance premiums for healthcare providers in California by decreasing their potential ...

  9. Healthcare in California - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_California

    California was one of the states to expand its Medicaid program. [6] As of 2018, about one-third of California was covered by Medi-Cal. It is administered by the California Department of Health Care Services, which operates it in accordance with California's Medicaid State Plan and Title XIX of the Social Security Act. [7]