Good morning,
Three things for your Monday: one article, one number to check, one payer change.
Credit Balances and Refunds: Finding Them and Meeting the Medicare 60-Day Rule
A credit balance is money the practice is holding that belongs to a payer or a patient, and holding it too long has consequences. Here is how to find credits, tell real overpayments from posting errors, run a refund workflow with documentation, and understand what the Medicare 60-day rule asks of a practice. Read it (9 min)
Clean claim rate
The share of claims paid on the first submission last month. Your billing report or clearinghouse shows it. Healthy practices sit at 95% or better; below 90% means the front desk and the coder need a conversation this week.
Example payer change
A national payer moved several imaging codes onto its prior authorization list. The email tells you what moved, when it takes effect and the one thing to check before you schedule the next scan.
Have a good week,
The Revelrex team
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