Correct use of CPT Modifiers to Maximize Reimbursement

According to the Current Procedural Terminology (CPT) book, a modifier is a “means to report or indicate that a service or procedure that has been performed has been altered

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What is Preauthorization in Medical Billing

CMS defines preauthorization as “a process through which a request for provisional affirmation of coverage is submitted to CMS or its contractors for review before the item

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Top 5 Reasons why Dental Claims are Denied

Like any other area of practice in medicine, dental practice treats hundreds of patients claiming to have health care insurance. As per the America Dental Association’s survey

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What is EHR and Advantages of EHR

According to Healthit.gov, Electronic Health Record (EHR) is defined as a “digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information

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What is a Vendor Submitter ID in Medical Billing

To understand the term Vendor Submitter ID is it important to understand the terms—submitter, vendor, software vendor, and submitter ID as they are closely associated.

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What is a Smart Edit in Medical Billing

Reviewing medical claims manually is quite a tough task. Moreover, manual submission of claims is a slow process that is likely to delay the processing of claims

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What is Coinsurance in Medical Billing

When it comes to health care insurance and medical claims, there are a few terms that an individual must know about. These terms are—co-pay, coinsurance, and deductibles.

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What is an Adjudication Date in Medical Billing

In the health care industry, every hospital relies on insurance companies for the payment of medical services received by their insured patients

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What is an Aging Report in Medical Billing

Hospitals are required to review revenue reports every month. These reports help a medical institution to assess its revenue cycle. The purpose is to understand the revenue generation

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What is Double Billing in Medical Billing

The health care industry runs on continuous cash inflow from various sources like clients, suppliers, and health insurance payers, etc. This vast network connecting insured patients and doctors

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