blog what-is-edi-healthcare 
Etactics
AUGUST 23, 2022
The introduction of the electronic claims process revolutionized healthcare forever. In the past, paper-based systems plagued healthcare organizations with inefficiencies and inaccuracies. There’s a preliminary step that every payer requires called Electronic Data Interchange (EDI) enrollment. What is EDI Enrollment?
Etactics
FEBRUARY 15, 2024
Claim denials continue to plague the healthcare system, bogging down medical billing personnel when it comes to their day-to-day tasks. So what is the secret to regulating your claim denial rate? We have addressed a few of these denial codes in previous blogs such as CO 97 , CO 151 , and PR 204 just to name a few.
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Etactics
AUGUST 30, 2022
What is Claim Adjudication In a nutshell, claim adjudication is the process that every insurance payer goes through to determine how much they owe a provider based on a claim that they received. When that happens, the healthcare organization will see a credit appear in its bank account for the full amount. Easy enough, right?
Etactics
SEPTEMBER 1, 2023
Recovering revenue from healthcare insurance providers is one of the most important aspects of running a modern-day practice. Of course, what I’m referring to is the revenue cycle industry. After all, there’s a reason why most healthcare organizations seek to outsource their revenue cycle management entirely. billion by 2028.
Lexis Nexis
AUGUST 24, 2021
Last week, we took a look at historical efforts to build true healthcare interoperability and what some of the key steps were in the early stages of this drive. It’s important to understand what was tried in the past and how that can inform where we’re going. What Has Failed to Fully Work. People should expect far better.
Etactics
NOVEMBER 3, 2022
If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?” What is a claim? What does “adjudication” mean? What is claim adjudication? What is a claim? Healthcare organizations use these documents for reimbursement from insurance companies (aka payers).
Etactics
OCTOBER 27, 2022
After all, you clicked to read this blog post because of those pesky rejection codes, right? So what is a rejection code? So it’s easy to understand what went wrong when you receive a rejection notice. Medical billing is a headache. A claim rejection is not a denied claim. It's just not true. Simple enough. Table of Contents.
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