Category: Blog

Revenue codes are 3 or 4 digit numbers that hold information about a patient’s treatment or services performed by health care

Healthcare is a fast-paced, dynamic industry, and therefore, maintaining financial stability becomes a challenge.

The medical billing process has never been easy due to a range of factors like patient cooperation, rates and standards,

As the name is self-explanatory, a waiting period is a time before your insurance plan benefits begin. In other words, the period during

Medicare is the federal health insurance program designed to provide medical benefits to US citizens of age 65 and older

OOPs or Out-of-pocket payments are payments made by individuals directly to health care providers as compensation  for services provided. Such payments are made “out of the pocket” of consumers without any help or reimbursement by  insurance.  Alternatively, OOPs can be described as the maximum amount consumers or policyholders are required to pay or a  policyholders’… Continue reading What are Out of Pocket Expenses and their types?

DRG stands for Diagnosis Related Group. Medicare and various other insurance companies have established DRGs  as the foundation of the hospital reimbursement system. The reimbursement of the claim is based on the case mix  complexity. In simpler terms, the DRG reimbursement system works on the basis of prognosis & diagnosis instead  of the cost spent… Continue reading What does DRG stand for and how is it important in medical billing?

Accounts Receivable (AR) is used to measure the money that either insurance companies or patients owe to the health

Patients are crucial for the growth of any healthcare system as only when they get top quality care do they return

Optimizing reimbursements is a key area for healthcare services providers