Zeeonebilling

31/10/2023

Edit: Nov 1st
FYI for those that are not aware. The updated 855I
has also taking the place of the 855R. Hope this is helpful for those that were not aware

01/04/2023

26/03/2023

What are somethings you can do when it is taking extremely long for Credentialing to complete with insurance payers?

14/03/2023

ZeeOne is a medical billing and coding company that provides services to healthcare providers.
Their services include medical billing, coding, and credentialing. They aim to streamline the billing process and improve revenue cycle management for their clients. ZeeOne's team of experienced professionals work with healthcare providers to ensure accurate coding and billing, reduce errors and rejections, and increase revenue.

They also provide credentialing services to help providers get enrolled with insurance companies and government programs. Overall, ZeeOne aims to provide efficient and effective billing and coding services to their clients in the healthcare industry.

11/03/2023

Revenue cycle management families problems

Revenue cycle management (RCM) is a critical process in healthcare organizations that involves the management of financial transactions, including billing, claims processing, and reimbursement. RCM can face several challenges that can negatively impact the organization's revenue and financial performance. Some common problems that RCM families can face are:

Inaccurate patient information: One of the most common challenges of RCM is inaccurate patient information. Inaccurate information can lead to claim denials and delayed payments. To control this challenge, healthcare organizations need to establish processes for verifying and updating patient information regularly.

Insurance coverage issues: Insurance coverage issues can also create problems for RCM families. Patients may have insurance coverage that does not cover certain procedures or services, leading to denied claims. To control this challenge, healthcare organizations need to verify insurance coverage before providing services and educate patients about their insurance coverage.

Claims denials: Claim denials can be a major problem for RCM families. Denials can occur for a variety of reasons, including coding errors, incomplete documentation, and lack of medical necessity. To control this challenge, healthcare organizations need to establish processes for identifying and addressing the root causes of claim denials.
Staff turnover: Staff turnover can also create problems for RCM families. When staff members leave, knowledge and expertise are lost, leading to gaps in the revenue cycle process. To control this challenge, healthcare organizations need to invest in staff training and development and establish processes for knowledge transfer.

Compliance issues: Compliance issues can create significant problems for RCM families. Healthcare organizations must comply with a range of regulations, including HIPAA, billing and coding guidelines, and Medicare regulations. Non-compliance can result in fines and penalties. To control this challenge, healthcare organizations need to establish compliance programs and conduct regular audits to ensure compliance.

In summary, some of the common problems that RCM families can face include inaccurate patient information, insurance coverage issues, claims denials, staff turnover, and compliance issues. To control these challenges, healthcare organizations need to establish processes for verifying and updating patient information, verifying insurance coverage, addressing the root causes of claim denials, investing in staff training and development, establishing compliance programs, and conducting.

11/03/2023

Outsourcing medical billing has several advantages, including:

Cost savings: Outsourcing medical billing can help healthcare providers save money on staff salaries, benefits, office space, equipment, and software. Outsourcing companies typically charge a percentage of the total amount of claims processed, so providers only pay for the services they actually use.

Expertise: Medical billing companies have trained professionals who specialize in the complexities of medical billing and coding. This means that they can process claims quickly and accurately, reducing the risk of errors and denials.

Increased revenue: By outsourcing medical billing, healthcare providers can focus on patient care and other revenue-generating activities. Outsourcing companies can also help providers identify areas for improvement and optimize their billing processes, leading to increased revenue.
Improved cash flow: Outsourcing medical billing can help providers speed up the payment cycle and reduce the amount of time it takes to get paid. This can help improve cash flow and reduce the risk of financial problems.

Compliance: Medical billing companies stay up-to-date with changes in regulations and compliance requirements. This can help providers avoid penalties and legal issues related to billing and coding errors.
Overall, outsourcing medical billing can help healthcare providers save time and money, improve their revenue cycle, and reduce the risk of errors and compliance issues.

11/03/2023

Question: How to get 835s for 36 treas?

Ans: The 835 transaction is an electronic remittance advice (ERA) sent by a healthcare payer to a provider to provide information on payments and adjustments made on claims.

To obtain an 835 transaction for 36 Treasury, you would need to follow these steps:

Confirm that 36 Treasury is a participating healthcare payer that is capable of sending 835 transactions.
Contact the payer to request that they send 835 transactions for your claims.
Provide the payer with the necessary information and documentation required to initiate the 835 transaction.
Once the payer has initiated the 835 transaction, you should receive the remittance advice electronically, which will provide you with information on the payments and adjustments made on your claims.
It's worth noting that the process of obtaining 835 transactions may vary depending on the specific payer and the healthcare provider's electronic health record (EHR) system. Therefore, it's important to ensure that your EHR system is compatible with the payer's system and that you have a clear understanding of the requirements and procedures for obtaining 835 transactions.