Category: Blog

A process that provides a snapshot of a practice’s daily revenue stream and forms the most fundamental feature of the RCM. It allows you to view the deposit activities, making it easy to catch the potential issues and solve them fast.   Being a crucial step in medical billing, health professionals can view the day-to-day payments… Continue reading How do you do payment posting in medical billing?

Job Description  A medical biller takes the responsibility of submitting the patient’s medical claims to insurers and payers like Medicaid and Medicare. The position is responsible for the financial health of the organization so that the providers get paid. You can find medical billers in nursing homes, hospitals, healthcare facilities, and physician offices.  Job Duties … Continue reading What exactly do medical billers do?

Deductibles, copays, and coinsurance give you an understanding of the costs of healthcare.  Copayment  A health insurance copayment is a flat fee you pay to your medical provider when you receive the service. For example, if you have knee pain and you see your doctor or need a refill for medicine, the set amount you… Continue reading What is Copayment in Medical bills? How Deductibles, Copays and Coinsurance works?

Navigating the intricacies of healthcare coverage may be daunting, mainly when dealing with secondary insurance like Medicaid. Many people rely on Medicaid as a secondary payer to bridge gaps in insurance left by way of their number one coverage. One common query arises: does Medicaid cover copays from primary insurance? In this blog, I’ll offer… Continue reading Does Medicaid secondary cover copays from primary insurance?

A general overview of Medicare supplement plan: Medicare supplement plans are extra health insurance coverage that an individual buys from a federal govt to cover the healthcare costs not paid by original medical insurance plans like deductibles, copayments, etc. However, most of these health insurance plans don’t cover the prescription medicines’ costs. In such a… Continue reading Do all Medicare supplement plans pay the same?

There are plenty of questions about health insurance. You must have come across a few as well if you have enrolled in a health insurance policy.  One of the most popular questions is– Can I drop my health insurance without a qualifying event?  Before answering the question, let’s understand what qualifying events are. These occasions… Continue reading Could I, at any point, drop my health insurance without a qualifying event?

In the dynamic world of healthcare, ancillary services play an essential function in assisting the primary care technique. These offerings are supplementary but crucial, improving the affected person care adventure and allowing healthcare vendors to recognize middle medical strategies. But what exactly are ancillary offerings, and why are they so important? Let’s delve into their… Continue reading WHAT ARE ANCILLARY SERVICES?

The American Medical Association was founded in 1847 and formally recognized in 1897. Today it stands as the largest and most influential body representing physicians from MDs to DOs and medical students and trainees in the United States. However historically it has been longer than a century and even backward into the 21st century, dedicated… Continue reading Everything About American Medical Association (AMA)

When an individual purchases a health insurance policy they believe that all of their essential medical needs will be covered by the insurance coverage. Here comes COBRA insurance that stands for Consolidated Omnibus Budget Reconciliation Act of 1985 that allows an employee to keep their insurance active even after the completion of their employment. All… Continue reading COBRA INSURANCE AND ITS BENEFITS

If your healthcare practice is like most, see the words “claim denied” fairly often; that not only leads to frustration and increased work but also reduced revenue for the practice over time. A study by AMA found that medical practices spend almost $15,000 on the phone calls, follow-ups, and claims appeals associated with reworking claims.… Continue reading How to avoid claim denials & improve reimbursements?