#KareoChat Transcript
Healthcare social media transcript of the #KareoChat hashtag.
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See #KareoChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Tebra @TebraOfficial Thanks for joining the #KareoChat today! We're thrilled to have @Capture_Billing's Manny Oliverez as our Host today. |
| Tebra @TebraOfficial Introduce yourselves and say hello to the other members of the #KareoChat and we'll post the 1st question in a minute. |
 | Janet Kennedy @GetSocialHealth RT @GoKareo: Thanks for joining the #KareoChat today! We're thrilled to have @Capture_Billing's Manny Oliverez as our Host today. |
 | Capture Billing @Capture_Billing I'll start! My name is Manny Oliverez and I am the CEO and co-founder of Capture Billing #KareoChat |
| Tebra @TebraOfficial It's a #MedicalBilling and #Claims topic on the #KareoChat today! Thanks for being here @Capture_Billing! https://t.co/tsfjVui9hT |
| Tebra @TebraOfficial Tome for the first question! What Is the Difference Between a Rejected Claim and a Denied Claim? #KareoChat #MedicalBilling https://t.co/OIhHUnNoYH |
| Capture Billing @Capture_Billing Medical billing is a complex process and our chat today will help you focus on claims rejections #KareoChat |
| Capture Billing @Capture_Billing A rejected claim is a claim that never actually makes it to the insurance company and is never processed #KareoChat |
| Capture Billing @Capture_Billing A denied claim is one that is received and processed by insurance but does not actually get paid #KareoChat |
| Capture Billing @Capture_Billing Hello Carol @TheSocialNurse Glad to see you joined us. #KareoChat |
| Capture Billing @Capture_Billing When we initially submit a claim via our clearinghouse it goes through a "scrubbing" process and claims that may be missing information get rejected #KareoChat |
 | Annie Beth Donahue @anniebdonahue @Capture_Billing Thanks for the clarification! #kareochat |
| Janet Kennedy @GetSocialHealth Hi, Janet Kennedy of Get Social Health here. Today I represent the patient perspective. #KareoChat |
| Janet Kennedy @GetSocialHealth RT @Capture_Billing: When we initially submit a claim via our clearinghouse it goes through a "scrubbing" process and claims that may be missing information get rejected #KareoChat |
| Annie Beth Donahue @anniebdonahue @GetSocialHealth I'll be following your comments closely, then! #kareochat |
| Capture Billing @Capture_Billing When submitting claims our main goal is to submit a "clean" claim, one that is error free #KareoChat |
| Janet Kennedy @GetSocialHealth Is that the first place that rejection problems happen? Practice team members don't fill the paperwork out or is this a technology issue? #KareoChat https://t.co/ny73Comawc |
 | Favorite Grampy @FavoriteGrampy RT @GetSocialHealth: Hi, Janet Kennedy of Get Social Health here. Today I represent the patient perspective. #KareoChat |
| Favorite Grampy @FavoriteGrampy RT @anniebdonahue: @GetSocialHealth I'll be following your comments closely, then! #kareochat |
| Favorite Grampy @FavoriteGrampy RT @anniebdonahue: @Capture_Billing Thanks for the clarification! #kareochat |
 | Healthcare Writers @HMNwriters Always great to see one of our writers hosting the #KareoChat. Hi, Manny! @Capture_Billing #amwritinghealthcare |
| Capture Billing @Capture_Billing Hi Annie Beth @anniebdonahue thanks for joining us! #KareoChat |
| Capture Billing @Capture_Billing Sometimes the practice management software will catch simple mistakes that can be correctly immediately, before sending it to the clearinghouse. Kareo does this #KareoChat |
| Annie Beth Donahue @anniebdonahue @GetSocialHealth Great questions! And is there anything the patient can do to help ensure the paperwork is filled out correctly? Is there a place where the information could be incorrectly provided by a patient? #kareochat |
| Janet Kennedy @GetSocialHealth No! Please don't make me involved in claims in any way. #LazyPatient #KareoChat https://t.co/19sMfdFmAX |
| Capture Billing @Capture_Billing Good practice management software will check eligibility and help us catch data entry errors like a transposed number in a patient's id #KareoChat |
| Tebra @TebraOfficial Q2) What Causes a Claim to be Rejected? #KareoChat https://t.co/hiKo0txGVl |
| Capture Billing @Capture_Billing Hello @HMNwriters #KareoChat |
| Capture Billing @Capture_Billing Patients can help us by making sure we have complete information by providing us with the most current insurance card and demographics #KareoChat |
 | Memorizing Pharmacology @Tony_PharmD It really depends, but often it's that the book of medications is so onerous, that there's no possibility of reading each detail before submitting #kareochat |
| Capture Billing @Capture_Billing Claims can be rejected when the patient does not update their demographic information or provides the wrong information #KareoChat |
| Janet Kennedy @GetSocialHealth You know that alternate at-home test for colon cancer screening? My physician told me to check with my insurance company. I didn't. Claim was rejected. I think the physician needs the tools to check to see if I'm covered before they recommend something. #KareoChat #LazyPatient |
| Capture Billing @Capture_Billing Wrong information can include old insurance information, incorrect date of birth, or if a form is not completed properly #KareoChat |
| Healthcare Writers @HMNwriters RT @Capture_Billing: Claims can be rejected when the patient does not update their demographic information or provides the wrong information #KareoChat |
| Capture Billing @Capture_Billing Sometimes we make data entry errors, like a transposed ID number which can easily cause a claim to reject. #KareoChat |
| Annie Beth Donahue @anniebdonahue @Capture_Billing Thanks for the clarification! #kareochat |
| Tebra @TebraOfficial Thanks for joining the #KareoChat @HMNwriters @Tony_PharmD @AnnieBDonahue @TheSocialNurse @GetSocialHealth Always great to see you. |
| Tebra @TebraOfficial RT @Capture_Billing: Wrong information can include old insurance information, incorrect date of birth, or if a form is not completed properly #KareoChat |
| Annie Beth Donahue @anniebdonahue @GetSocialHealth This would be amazing. I'm sure someone could come up with a database that tells you what each type of insurance covers. Providers would be able to search any insurance they accept to rule out automatic "nos." #kareochat |
| Capture Billing @Capture_Billing @GetSocialHealth Janet, unfortunately doctors can't know the ins and outs of every patient's specific policy, but they should do their best to help patient's understand their benefits #KareoChat |
| Annie Beth Donahue @anniebdonahue @GetSocialHealth It should also include things that are covered only with a letter of medical necessity so the provider knows they can just write something up for the patient. #kareochat |
| Janet Kennedy @GetSocialHealth Part II of my story. I ignored the bill for the alternate #ColonCancer screening test and eventually it must have been deemed acceptable to the insurance company. #KareoChat (Not a good idea, generally.) |
| Capture Billing @Capture_Billing @GetSocialHealth Janet, did the claim deny or did it reject? #KareoChat |
| Janet Kennedy @GetSocialHealth I don't know. The rationale was that the test was too new. It must have gained wider acceptance over the next 6 months. #KareoChat https://t.co/hmMxH5DgNu |
| Capture Billing @Capture_Billing There are tools in the EHRs to help check formularies to see if certain medications are covered by the patient's individual plan #KareoChat |
 | Dr. Tom Giannulli @drtomg_HIT denial may be due to prior auth reguirements as well #kareochat |
| Memorizing Pharmacology @Tony_PharmD RT @GoKareo: Thanks for joining the #KareoChat @HMNwriters @Tony_PharmD @AnnieBDonahue @TheSocialNurse @GetSocialHealth Always great to see you. |
| Capture Billing @Capture_Billing The best way to ensure that there are no rejected claims is to make sure that we have the most up to date information from the patient, no data entry errors and correct code linkage for CPT and ICD-10 #KareoChat |
| Janet Kennedy @GetSocialHealth As a patient, I dread having to call my insurance company. I want my physician's office to handle everything because I just expect to hear "No". #KareoChat |
| Capture Billing @Capture_Billing Claims can also be rejected immediately when CPT codes and ICD-10 codes don't match. For example a baby well check for a 25 yr old #KareoChat |
| Janet Kennedy @GetSocialHealth To be fair - I have used my insurance company's #PatientPortal and participated in some wellness opportunities. #KareoChat |
| Dr. Tom Giannulli @drtomg_HIT I deal a lot with lab denials and they are often a loss absorbed by the lab #kareochat |
| Tebra @TebraOfficial Time for Q3) How can you Reduce Claim Rejections? #KareoChat https://t.co/mugybT6qOX |
| Capture Billing @Capture_Billing @drtom_kareo Sometimes claims do reject for improper auths, but typically we see that as a claims denial vs a rejection #KareoChat |
| Dr. Tom Giannulli @drtomg_HIT Complete documentation and correct coding - simple to say hard to do #kareochat |
| Tebra @TebraOfficial RT @Capture_Billing: A denied claim is one that is received and processed by insurance but does not actually get paid #KareoChat |
| Tebra @TebraOfficial RT @Capture_Billing: A rejected claim is a claim that never actually makes it to the insurance company and is never processed #KareoChat |
| Capture Billing @Capture_Billing The most common claims rejections include incorrect patient demographics, incorrect coding, incorrect place of service, out of date information, duplicate claims and eligibility #KareoChat |
| Capture Billing @Capture_Billing In our experience the most common rejection from the clearinghouse has to do with patient eligibility #KareoChat |
| Janet Kennedy @GetSocialHealth Rejected = Insurance company dropped the ball. Denied = No pay for you! Is that about right, @Capture_Billing? #KareoChat |
| Dr. Tom Giannulli @drtomg_HIT So rejections fail the first test of eligibility #kareochat |
| Capture Billing @Capture_Billing @drtom_kareo Yes but with new technology and EHRs the documentation and correct coding issues can be addressed in a much faster and more efficient manner #KareoChat |
| Janet Kennedy @GetSocialHealth So, for instance, now that the recommendation is for #ColenCancer screenings should start at age 45 (for some patients), how long does it take for new recommendations to be covered by #HealthInsurance? #KareoChat https://t.co/N6vG2osW8z |
| Capture Billing @Capture_Billing Rejected = Patient or Billing dropped the ball Denied = No pay for you until you appeal it #KareoChat |
| Annie Beth Donahue @anniebdonahue @Capture_Billing @drtom_kareo So an observation here is that EHR can help avoid these rejections by catching fields where information is missing, incorrect, etc. #kareochat |
| Janet Kennedy @GetSocialHealth Spelling is not my friend today. #KareoChat |
| Janet Kennedy @GetSocialHealth RT @Capture_Billing: Rejected = Patient or Billing dropped the ball Denied = No pay for you until you appeal it #KareoChat |
| Tebra @TebraOfficial RT @Capture_Billing: Rejected = Patient or Billing dropped the ball Denied = No pay for you until you appeal it #KareoChat |
| Capture Billing @Capture_Billing @drtom_kareo Software can verify eligibility, the tools are there, they just need to be implemented by the staff at the time of visit #KareoChat |
| Janet Kennedy @GetSocialHealth Taped to my wall now. Thanks @Capture_Billing! #KareoChat (I guess it's not fair to make #HealthInsurance companies the bad guy in every instance. https://t.co/6gPS6RxHRf |
| Tebra @TebraOfficial A twist on the last question: Q4) Why do some practices have claim rejection problems? #KareoChat https://t.co/cnlOd2UB1n |
| Capture Billing @Capture_Billing @GetSocialHealth Janet, the newer tests and procedures always go through an acceptance process, on a payer by payer basis. For example it took a long time for all insurance companies to approve HPV vaccines for males #KareoChat |
| Capture Billing @Capture_Billing Yes @anniebdonahue a good EHR can help your tremendously #KareoChat |
| Capture Billing @Capture_Billing Some practices have a claims rejection problem because they may not have the proper procedures in place for patient demographic intake. We see this all the time, patients get tired of filling out these forms over and over #KareoChat |
| Janet Kennedy @GetSocialHealth Q4 - I assume that every practice has a well-training billing expert. Would that be true? #KareoChat |
| Capture Billing @Capture_Billing @GetSocialHealth Yes the insurance company is not always the bad guy. #KareoChat |
| Healthcare Writers @HMNwriters RT @Capture_Billing: Some practices have a claims rejection problem because they may not have the proper procedures in place for patient demographic intake. We see this all the time, patients get tired of filling out these forms over and over #KareoChat |
| Capture Billing @Capture_Billing Poor training, inexperienced staff, overworked front desk - these are all things that might contribute to claim rejections #KareoChat |
| Janet Kennedy @GetSocialHealth I remember coming into my physician's offices 10 years ago to see a mountain of patient folders when I checked in. Now, it's one piece of paper. Electronic systems have improved the administrative/billing process, haven't they? #KareoChat |
| Tebra @TebraOfficial RT @Capture_Billing: Poor training, inexperienced staff, overworked front desk - these are all things that might contribute to claim rejections #KareoChat |
| Tebra @TebraOfficial Q5) What features should you require in billing software that can help reduce rejected claims? #KareoChat https://t.co/4aK0IWH5Aj |
| Capture Billing @Capture_Billing @GetSocialHealth That would be ideal!! However this is not the case unfortunately. Not having an experienced biller on staff may seriously disrupt the cash flow and A/R cycle for our hard working doctors #revenuecyclemanagement #KareoChat |
| Capture Billing @Capture_Billing One stat from the #MGMA states that only 75%-85% of claims are clean and go through the clearinghouse the first time #KareoChat |
| Janet Kennedy @GetSocialHealth RT @Capture_Billing: @GetSocialHealth That would be ideal!! However this is not the case unfortunately. Not having an experienced biller on staff may seriously disrupt the cash flow and A/R cycle for our hard working doctors #revenuecyclemanagement #KareoChat |
| Capture Billing @Capture_Billing EHRs do help tremendously - HOWEVER - they have to be set up and used properly #KareoChat |
| Healthcare Writers @HMNwriters RT @Capture_Billing: One stat from the #MGMA states that only 75%-85% of claims are clean and go through the clearinghouse the first time #KareoChat |
| Tebra @TebraOfficial Excellent advice, @Capture_Billing - Take the time to set up your system and plan for a review of processes on a regular basis. #KareoChat https://t.co/xaCslQgqzT |
| Tebra @TebraOfficial RT @Capture_Billing: One stat from the #MGMA states that only 75%-85% of claims are clean and go through the clearinghouse the first time #KareoChat |
| Dr. Tom Giannulli @drtomg_HIT thanks everyone #kareochat |
| Capture Billing @Capture_Billing The features in billing software that you should look for include eligibility, coding assistance, pre-scrubbing of claims, and should be easy to use #KareoChat |
| Capture Billing @Capture_Billing We've seen a lot of billing software out there over the years and we have some favorites, especially #TeamKareo #KareoChat |
| Tebra @TebraOfficial The #KareoChat hour fly's by every time! Thank you for participating and many thanks to our chat host, Manny Oliverez of @Capture_Billing! |
| Annie Beth Donahue @anniebdonahue @GoKareo @Capture_Billing I imagine that staff trainings are essential. Also making training easily accessible to any new hires that come on after the initial systems transition. #kareochat |
| Tebra @TebraOfficial RT @Capture_Billing: The features in billing software that you should look for include eligibility, coding assistance, pre-scrubbing of claims, and should be easy to use #KareoChat |
| Tebra @TebraOfficial RT @anniebdonahue: @GoKareo @Capture_Billing I imagine that staff trainings are essential. Also making training easily accessible to any new hires that come on after the initial systems transition. #kareochat |
 | Maureen Bonatch MSN, RN @CharmedType RT @GoKareo: Excellent advice, @Capture_Billing - Take the time to set up your system and plan for a review of processes on a regular basis. #KareoChat https://t.co/xaCslQgqzT |
| Capture Billing @Capture_Billing @GoKareo We have seen so many practices that have not used all the functionality of the software which could really help the entire billing process #KareoChat |
| Maureen Bonatch MSN, RN @CharmedType RT @Capture_Billing: Poor training, inexperienced staff, overworked front desk - these are all things that might contribute to claim rejections #KareoChat |
| Capture Billing @Capture_Billing @anniebdonahue @GoKareo This is key! Training and re-training is key to a successful practice #KareoChat |
| Tebra @TebraOfficial RT @Capture_Billing: @GoKareo We have seen so many practices that have not used all the functionality of the software which could really help the entire billing process #KareoChat |
| Tebra @TebraOfficial RT @Capture_Billing: @anniebdonahue @GoKareo This is key! Training and re-training is key to a successful practice #KareoChat |
| Capture Billing @Capture_Billing Wow that hour did go by fast! And it was fun! Thank you all for joining us today. See you at the next #KareoChat |
| Annie Beth Donahue @anniebdonahue @GoKareo @Capture_Billing Bye everyone! Time for lunch! #kareochat |
| Capture Billing @Capture_Billing Thank you @GoKareo for allowing @Capture_Billing and @MannyOliverez to host today's #KareoChat on Tips for Reducing Claim Rejections #healthcare #medicalbilling #revenuecyclemanagement |
#KareoChat content from Twitter.