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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]
It is maintained by the CPT Editorial Panel. [1] The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
[1] A designee must pass an exam on each topic and can choose between a personal insurance and a commercial insurance concentration, which includes one elective of their choosing, as well as one ethics course. These exams are standardized, two hour multiple choice, objective-type exams. The exams are known for their difficulty. [1] [2]
The Casualty Actuarial Society (CAS) is a leading international professional society of actuaries, based in North America, and specializing in property and casualty insurance. [3] The two levels of CAS membership are Associate (ACAS) and Fellow (FCAS). Requirements for these levels of membership include a comprehensive series of exams. [4]
An objective structured clinical examination (OSCE) is an approach to the assessment of clinical competence in which the components are assessed in a planned or structured way with attention being paid to the objectivity of the examination which is basically an organization framework consisting of multiple stations around which students rotate and at which students perform and are assessed on ...
Apple. Apple (NASDAQ:AAPL) is a company that people just love to doubt. The stock started 2024 with a pretty expensive multiple, only to end the year with an even pricier one (shares go for almost ...
The holiday season is incomplete for many people without holiday movies. This year, Netflix is streaming a wide range of Christmas classics and original movies.
PCMS’ software, Atlas, was launched in 1999 and re-architected in 2020. Atlas is a cloud-based platform designed to handle all core processing needs for small to mid-size property & casualty insurance carriers from; underwriting, claims adjudication, billing & accounting, reporting, along with maintaining communication between key insurance stakeholders via a flexible portal. [5]