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How to Save Medical Claim in PPR

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Section 80C is widely recognized among Indians for tax savings, allowing deductions up to Rs. 1.5 lakh. However, there are additional options, including Section 80D, which focuses on health insurance. The video highlights India's designation as the "Diabetic capital of the world" and the rising number of cardiac patients, emphasizing the high treatment costs associated with these conditions. With hospital and medication expenses potentially reaching lakhs, the government incentivizes acquiring health insurance by offering tax deductions under Section 80D. The tutorial aims to shed light on these aspects of tax savings related to health insurance.

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What is the medical claim?

What is a medical claim? A medical claim is a bill that healthcare providers submit to a patients insurance provider. This bill contains unique medical codes detailing the care administered during a patient visit. The medical codes describe any service that a provider used to render care, including: A diagnosis.

What are the 5 steps to the medical claim process?

What happens to a claim after it gets submitted? Step 1: Submission. Step 2: Initial review. Step 3: Eligibility. Step 4: Network. Step 5: Repricing. Step 6: Benefits adjudication. Step 7: Medical necessity review. Step 8: Risk review.

What are the stages of a health insurance claim?

The insurance claim life cycle has four phases: adjudication, submission, payment, and processing.

What are the top 5 reports used by operations in healthcare claims processing?

Following are 6 of the most important medical billing reports that your practice should check frequently. The Accounts Receivable Aging Report. Payment Trend and Collection Reports. The Key Performance Indicators Report. The Insurance Analysis Report. Patient Payments. Clearinghouse Rejections.

How are medical claims processed?

In most cases, claims are first transmitted to a clearinghouse. The clearinghouse reviews and reformats medical claims before sending them to the payor. In some cases, healthcare providers send medical claims directly to a payor. High-volume payors like Medicare or Medicaid may receive bills directly from providers.

How long should you keep medical insurance claims?

Generally, if you are in good health and seeking treatment for normal preventative health care and maintenance you should keep medical claims and billing information for one year. At the end of the year, if you qualify for a medical tax deduction then file this information with your income taxes.

What are the steps in processing a claim?

Primarily, claims processing involves three important steps: Claims Adjudication. Explanation of Benefits (EOBs) Claims Settlement.

What is PPR in medical billing?

Potentially Preventable Readmissions (PPR) A Potentially Preventable Readmission (PPR) is a readmission (return hospitalization within the specified readmission time interval, as defined below) that is clinically-related (as defined below) to the initial hospital admission.

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Save Medical Claim in PPR