Category: Blog

Medicaid Fee for service (FFS) is the most convenient way of paying for healthcare services. This is a payment model which helps physicians to get reimbursement for their services provided to patients. The only setback of this payment system is that every time a patient visits the clinic, their insurance providers are billed for every… Continue reading WHAT DOES MEDICAID FFS STAND FOR?

Obamacare is also known as the “Patient Protection and Affordable Care Act (PPACA)”. It is an insurance plan that provides healthcare coverage to US citizens. Many health insurances may limit the individuals how much they spend on their insurance coverage each year or may set a “lifetime dollar limit”. If any patients spend more than… Continue reading DOES OBAMACARE ELIMINATE LIFETIME LIMITS?

What is a write-off? A write-off refers to an amount deducted by the provider from a medical bill and does not expect to collect payment owned by patients or payers. Write-offs are a common practice in the billing system. Primarily, write-offs can be bifurcated into two categories; approved and other write-offs. This depends upon the… Continue reading DIFFERENCE BETWEEN WRITE OFF AND ADJUSTMENTS IN MEDICAL BILLING

Centers for Medicare & Medicaid administers multiple government programs in health care for the public, under the authority of the U.S. Department of Health and Human Services. CMS operates Medicaid alongside Medicare as well as state and federal health insurance and supports CHIP (the Children’s Health Insurance Program). CMS also provides research reports, and data… Continue reading WHAT DOES CMS STAND FOR IN MEDICAL TERMS?

Medical billing denials are constant headaches. According to a report by American Medical Association, practitioners spend almost $15,000 on reworking claims. It is a complex maze of healthcare revenue management, and if not handled efficiently, can increase the denial rate impacting your bottom line. Here are some strategies that can help providers recoup lost revenue… Continue reading HOW TO MINIMIZE MEDICLAIM DENIAL AND INCREASE REVENUE?

In the field of medical billing the process of linking some services under a code is known as bundling

A remarkable decision ever made by President Lyndon B. Johnson in 1965, changed

In medical billing, a timely filing limit is crucial because of the deadlines set by the insurance

In medical billing, authorization and pre-authorization are the same terms

In medical billing, clearing housing acts as a middleman, which carries medical claims information