How can you improve your medical practice’s claim management?
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What is exym EHR?
Exym is a leader in behavioral health EHR software for behavioral health agencies. We proudly serve agencies across California with our intuitive, robust behavioral health EHR system. 45,000+ clients per month are served by clinicians who use Exym's EHR software to simplify their billing, documenting, and case management needs.
What is exym?
Feb 04, 2021 · Recap of the February 2021 CURES Act Webinar. Thank you for attending Information Blocking & The 21st Century CURES Act: The Future of Client Data Management. Below you will find the replay video and a link to the webinar slides. Enjoy the …
ABOUT US
Exym is a leader in behavioral health EHR software for behavioral health agencies. We proudly serve agencies across California with our intuitive, robust behavioral health EHR system. 45,000+ clients per month are served by clinicians who use Exym's EHR software to simplify their billing, documenting, and case management needs.
WHY EXYM
Accomplish your everyday tasks with ease. We designed Exym with clean interfaces, to streamline tasks like note management, patient scheduling, and activity tracking. Easy to learn and quick to train, Exym empowers you to spend more time with your clients and less time managing your work with our powerful EHR software.
OUR BEHAVIORAL HEALTH EHR SOFTWARE
Exym is an intuitive, user-friendly EHR solution that tracks everything your behavioral health agency needs. Easily manage your patient data, progress notes, clinician activities, and billing.
IT'S IMPORTANT TO COMPARE
There are a wide variety of features that make Exym the EHR of choice for many behavioral health agencies in California. Learn why Exym is the best behavioral health EHR company in California!
What are Z codes?
Z codes (Z00–Z99) are diagnosis codes used for situations where patients don’t have a known disorder, which could arise in two ways: 1 When a person, who may or may not be sick, encounters health services for some specific purpose, such as to receive limited care or service for a current condition or to discuss a problem which is in itself not a disease or injury 2 When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury
What is the downfall of Z codes?
One downfall of Z codes is that they’re not always covered by insurance. Because of this, some therapists don’t think it’s worth using these codes. They’d rather not risk wasting their client’s time submitting a claim if it may possibly get rejected by the insurance company.
What does it mean when someone is not sick?
When a person, who may or may not be sick, encounters health services for some specific purpose, such as to receive limited care or service for a current condition or to discuss a problem which is in itself not a disease or injury. When some circumstance or problem is present which influences the person's health status but is not in itself ...
Can you use Z codes for adjustment disorder?
It varies on a case-by-case basis and is up to you. If you don’t want to use Z codes, though, you could use adjustment disorder codes instead. These are codes that acknowledge emotional or behavioral symptoms while deferring a specific diagnosis for up to six months.
What are the challenges of medical denials?
Conclusion. Medical claim denials and rejections are perhaps the most significant challenge for a physician’s practice. They have a negative impact on practice revenue and the billing department’s efficiency. Educating your billers and collecting and analyzing claim data can determine trends in denials and rejections.
How to improve denial rate?
How to Improve Claim Rejections and Denial Rates 1 Management must track and analyze trends in payer denials and rejections. Categorize these denials and rejections and work on how to fix these issues as quickly as possibly 2 Staff education is imperative. Train billing staff to handle rejections quickly and provide training on how to appropriately handle denials 3 Schedule routine chart audits for data and documentation quality to identify problems and trends before claims are sent to the payer 4 Work with payers to discuss, revise or eliminate contract requirements that lead to denials that are overturned on appeal 5 Utilize automated software or external vendors to optimize claim management and perform predictive analysis to flag potential denials- addressing before claims are submitted. A good clearinghouse will allow you to quickly resolve rejections plus provides a great tracking tool
How can a medical practice prevent rejections and denials before claims are submitted?
By properly interpreting claims data, taking a proactive stance and paying attention to the details, a medical practice can prevent rejections and denials before claims are submitted and if claims are returned, make corrections in a timely fashion.
What is adjudicated service?
Service is already adjudicated- (unbundling) services. Benefits for a service are included within another service or procedure. Services not covered by payer- before providing services, check details of eligibility or call payer to determine coverage requirements.
What is a denied claim?
Denied claims are defined as claims that were received and processed (adjudicated) by the payer and a negative determination was made. This type of claim cannot just be resubmitted.
What is a medical claim rejection?
Claims Rejections are claims that do not meet specific data requirements or basic formatting that are rejected by insurance according to the guidelines set by the Centers for Medicare and Medicaid Services. These rejected medical claims can’t be processed by the insurance companies as they were never actually received ...
Can medical claims be processed?
These rejected medical claims can’t be processed by the insurance companies as they were never actually received and entered into their computer systems. If the payer did not receive the claims, then they can’t be processed. This type of claim can be resubmitted once the errors are corrected.
