What is the NDC Code in Medical Billing

As per the Drug Listing Act of 1972, all registered drug establishments are required to provide the Food and Drug Administration (FDA) with the latest or an updated list of all drugs

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Gross Collection Ratio vs. Net Collection Ratio

Every medical institution requires a continuous flow of income to be able to manage expenses and generate revenue. To monitor and analyse the revenue cycle clinics and hospitals

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What is Medigap in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) outlines that “a Medigap policy is health insurance sold by private insurance companies to fill the ‘gaps’ in Original Medicare Plan coverage.”

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Avoiding Electronic Data Interchange Claim Rejections

Electronic data interchange claim rejections are quite common and tend to affect the revenue cycle. It is therefore important to eliminate these errors and ensure timely reimbursement

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What are some of the Best Software for Medical Billing

Medical billing plays an important role in revenue generation from various sources like patients, insurance payers and suppliers, etc. The process can be quite complex and tiresome

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What is Payer Mix in Hospitals

Hospitals generate revenue from federal insurance programs, private insurance payers, and self-paying patients. The revenue coming from these three sources is calculated

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Types of Billing for Accounts Receivable

There are various ways to bill accounts receivable in the world of business. However, medical billing uses different billing types as compared to other business sectors

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What is the Difference between Hospital and Physician Billing

In layman’s term, both hospital billing and physician billing, fall under the umbrella of medical billing. However, the professionals involved in the healthcare industry

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What is the Difference between UB04 and CMS 1500

The UB-04 and CMS-1500 forms are designed and maintained by the National Uniform Claim Committee (NUCC). Both of these forms are used for reimbursement purposes

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What is Fee Schedule in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) define the fee schedule as “a complete listing of fees used by Medicare to pay doctors or other providers/suppliers

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