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Simply reacting isn't enough; true success comes from a proactive approach. Stay informed about key healthcare trends to anticipate and shape the future of care.
July 29, 2020

CMS-1500 Form in Medical Billing: Purpose and Explanation

The CMS-1500 form, popularly known as the Professional Paper Claim Form, is a…
July 28, 2020

Consequences of using the wrong place of Service Codes in Medical Billing

Medical billing plays an essential role in maintaining cash inflow. To support flourishing…
July 23, 2020

What is W-9 Form in Medical Billing? Things You Need To Know!

Profoundly known as a request for taxpayer identification number, W-9 Form is one…
July 21, 2020

Importance of Pre-Authorization in Medical Billing and Claim Submission

Prior Authorization is a term used actively by medical insurance companies. It means…
July 14, 2020

What is the NDC Code in Medical Billing

As per the Drug Listing Act of 1972, all registered drug establishments are…
July 13, 2020

Gross Collection Ratio vs. Net Collection Ratio

Every medical institution requires a continuous flow of income to be able to…
July 12, 2020

Significance of revenue cycle management in the healthcare sector

One of the most imperative issues in the healthcare sector is revenue collection.…
July 11, 2020

What is Medigap in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) outlines that “a Medigap policy…
July 10, 2020

Avoiding Electronic Data Interchange Claim Rejections

Electronic data interchange claim rejections are quite common and tend to affect the…
July 9, 2020

What are some of the Best Software for Medical Billing

Medical billing plays an important role in revenue generation from various sources like…
July 8, 2020

What is Payer Mix in Hospitals

Hospitals generate revenue from federal insurance programs, private insurance payers, and self-paying patients.…
July 6, 2020

Types of Billing for Accounts Receivable

There are various ways to bill accounts receivable in the world of business.…
June 29, 2020

What is the Difference between Hospital and Physician Billing

In layman’s term, both hospital billing and physician billing, fall under the umbrella…
June 28, 2020

What is the Difference between UB04 and CMS 1500

The UB-04 and CMS-1500 forms are designed and maintained by the National Uniform…
June 27, 2020

What is Fee Schedule in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) define the fee schedule as…
June 26, 2020

What is MUE in Medical Billing

Developed by the Centers for Medicare and Medicaid Services (CMS) the Medically Unlikely…
June 25, 2020

What is Downcoding in Medical Billing

In the health care industry claim denials and fraud are quite common due…
June 23, 2020

What is Carcinoma in Medical Billing

Carcinoma refers to a type of cancer that begins in the epithelial tissue…
June 22, 2020

What is Contractual in Medical Billing

Based on the general understanding, a contractual adjustment may be defined in the…
June 21, 2020

Correct use of CPT Modifiers to Maximize Reimbursement

According to the Current Procedural Terminology (CPT) book, a modifier is a “means…
June 20, 2020

What is Preauthorization in Medical Billing

CMS defines preauthorization as “a process through which a request for provisional affirmation…
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