A dual health plan is a type of health insurance designed for people who choose both Medicaid and Medicare. This dual-coverage is also known as dual-special needs plan (D-SNP) or dual-eligible health
Category: Blog
How Does A Health Maintenance Organization Work?
A health maintenance organization (HMO) is nothing but a medical insurance group or structure that provides medical coverage to its members through
Importance of Medicare 72 Hour Rule
The Centers for Medicare & Medicaid Services (CMS) provisions a three-day rule also called 72‐hour rule to crack down on frauds as a part of the False Claims
What is the limiting charge on Medicare fee schedule?
Limiting charge in simple terms means the highest amounts medical professionals can charge more than the determined Medicare approved limit by
How are providers paid under Medicare?
It seems like a good idea to take a hard look to understand who pays the bill in healthcare. As per the statistics, Medicare comprises 22% of the total
What is the Difference Between Fee for Service and Managed Care?
Modern healthcare grew out of a wish to change the traditional health care system, or in other terms fee-for-service method for health care
Which is Better Capitation or Fee for Service?
Healthcare providers receive payments for the treatments they provide to the patients. The two terms mentioned in the title, Capitation and Fee-For-Service
Can you have Two Health Insurance Plans?
Having two health insurance plans can be a real deal for your patients in terms of coverage and less out-of-pocket health insurance cost.Yes, the patient can have two
What is an allowed amount in medical billing?
Medical billing that seems a straightforward process inculcates various intricate procedures, policies, and terms.One such term is the allowed
KNOW ALL ABOUT EOBS AND ITS BENEFITS
EOB is commonly referred to as an Explanation of Benefits. It provides complete information about the payments for a medical service that a person has received.
