Article Check - Business

Medical Billing - The Weak Links
They say that any organization, project, idea, or anything is only as strong as its weakest link. That is no more true than in the world of medical billing. The problem is, medical billing has so many weak links in its structure that it is a miracle that anything at all gets done. In this article, we take a look at just a few of these potential disa

are allowed by the carrier. This total MUST be equal to the total number of charges minus all disallowed totals or the whole claim file will be denied.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our nex

Medical Billing - DME Software Install Options
In this installment of medical billing and the DME industry, we're going to focus on the basic setup of the DME software starting with the installation options.Installation options is the first place that the billing company goes to when first setting up the software to bill. The reason for this is because they want the software to have a certa

When doing medical billing and electronically transmitting claims, trailer records may only be a bunch of totals to some of us. But to the insurance carrier who is being billed, these trailer records could very well mean the difference between your whole claim file being accepted or rejected. In this installment we resume our review of the XA0 claim trailer record, picking up with field number 9.

XA0 field 9, positions 33 - 34, is the HXX record count. This is the number of H records, or narrative records being transmitted to the carrier. Because narrative information can be required for just about any reason, this count can be just about anything.

XA0 field 10, positions 35 - 37, is the claim total record count. This is the total number of C, D, E, F, G and H records being transmitted to the carrier. The max number allowed to be transmitted in a batch for one patient is 999. If more records need to be sent then it has to be sent in a separate batch.

XA0 field 11, positions 38 - 77, is reserved and not supported. This is a very strange mapping since there is nothing in this area that conflicts with any other record. No explanation is given in the manual as to why this area is not used.

XA0 field 12, positions 78 - 84, is the total claim charges. This is the total of all billable charges to the carrier, taken from all the F records, or line item records. The max amount billable is $99,999.99. If more than this has to be billed, which is rare, then the claims must be broken up into two batches.

XA0 field 13, positions 85 - 91, is the total disallowed cost containment. This is the total number of charges that are not allowed by the carrier. This figure can't be greater than the total number of charges in field 12.

XA0 field 14, positions 92 - 98, is the total disallowed other. This is the total number of other charges that are not allowed by the carrier. This figure plus the figure in field 13 cannot be greater than the total number of charges.

XA0 field 15, positions 99 - 105, is the total allowed amount. This is the total amount of the charges that are allowed by the carrier. This total MUST be equal to the total number of charges minus all disallowed totals or the whole claim file will be denied.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our next

Online Advertising For The Chinese Market
When you need to get your products or services in front of a Chinese audience, where do you start? This article will give you some tips.Whether you have a full line of products and services available that you want to market to China, or whether you only have one or two things available to China residents, you'll want to get your website in front

ed to the carrier. Because narrative information can be required for just about any reason, this count can be just about anything.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our nex

Small Business Ideas for Working at Home
Almost everyone it seems thinks that working from home is a great goal. This is very true, if you have the discipline to stay focused without constant supervision. There are literally thousands of small business ideas with many that would allow you to work from home. Here are a few things to consider before you quit your job and follow your dreamtrange mapping since there is nothing in this area that conflicts with any other record. No explanation is given in the manual as to why this area is not used.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our nex

Giving Your Business a Vision Others Can Envision
Simply put, a vision statement allows others to know what your vision for your company is. Where do you want your company to go? What is your company’s ultimate goal? To help put together your vision statement take the time to close your eyes and think about what your company will look like in 5 years. The picture you have created is your vision and wi

disallowed cost containment. This is the total number of charges that are not allowed by the carrier. This figure can't be greater than the total number of charges in field 12.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our nex

Talk Versus Action: A Closer Look
Talk! Talk! Talk! We are in a business where talk reigns supreme, and the boldest talkers are always at center stage. Claims run rampant about everything from ad responses - to phenomenal product results - to bodacious income projections.Sometimes this talk sways the uninitiated, and if they fail to seek any type of verification before taking a

are allowed by the carrier. This total MUST be equal to the total number of charges minus all disallowed totals or the whole claim file will be denied.

XA0 field 16, positions 106 - 112, is the total deductible amount. Most insurance policies come with a deductible that needs to be met by the patient. This field is the total of all deductibles owed.

XA0 field 17, positions 113 - 119, is the total coinsurance amount. This is the total amount that is covered by other insurance that the patient has.

In our next installment of medical billing and the electronic transmission of claims using NSF 3.01 specifications, we'll be covering the last six fields of the XA0 record.

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