M-Scribe Technologies, LLC

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id: 38012124
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2002 Summit Boulevard Northeast
Suite 300
Brookhaven, GA 30319

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1 (770) 666-0470
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M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
M-Scribe Technologies, LLC - Brookhaven, GA
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Owner Message

  • A national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, and payer contract reviews.

Additional information
  • Hours: monday: 09:00AM-05:00PM, tuesday: 09:00AM-05:00PM, wednesday: 09:00AM-05:00PM, thursday: 09:00AM-05:00PM, friday: 09:00AM-05:00PM, saturday: 12:00PM-05:00PM
Offers Offers
  • One of the key ways to protect your practice revenue is to avoid claim denials. While medical billing claims may be denied for various reasons, denials due to a lack of medical necessity - often called hard a hard denial - are quite common. Fully understanding medical necessity is a critical part of preventing denials that cost your practice. Payers use specific criteria to decide whether services offered to patients are medically necessary. In most cases, payers don't reimburse for treatments, prescriptions, or procedures that don't meet the criteria for being medically necessary. Here's a closer look at what your practice needs to know. How is Medical Necessity Determined? Evidence-based criteria designed by the Centers for Medicare & Medicaid Services (CMS), Interqual, or Milliman are generally used by auditing agencies, insurance providers, and hospitals to determine medical necessity. These criteria are used to help control medical costs by determining whether an item, service, or inpatient stay is medically necessary. These criteria haven't been designed to replace the professional opinions of providers, and physicians do have the ability to ask for peer-to-peer reviews, which can help overturn "medical necessity" denials. One good definition of medical necessity comes from Cigna. Their definition refers to services that physicians using clinical judgment would offer to patients, and those services have to be for diagnosing, treating, or evaluating a disease, injury, illness, or the symptoms of those problems. Cigna also mentions that services should be appropriate clinically in site, extend, duration, and frequency. Medical and Medical Necessity Medicare Administrative Contractors (MACs) are permitted by CMS to decide whether services offered to Medicare beneficiaries are medically necessary. The criteria MACs use to decide if services or items are medically necessary include: It's not investigational or experimental It's effective and safe It's appropriate when Ordered and provided by qualified pers
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