Category: Blog

The health care industry runs on a long chain of medical billing and claims to compensate health care providers for their services. However, managing bills and filing claims is not a cakewalk

The term authorization refers to the process of getting a medical service(s) authorized from the insurance payer. The term authorization is also referred to as pre-authorization or prior-authorization.

Definition of Revenue Codes Maintained by the National Uniform Billing Committee (NUBC), revenue codes are defined by NUBC as “codes that identify specific accommodations, ancillary services

Modifiers play an important role in modifying the medical codes for various medical situations. They are used when the physician decides to perform a procedure in a slightly different manner

The health care industry functions on cash inflow from patients and health care insurance payers. Without a good revenue cycle, the medical institutes won’t be able to invest

The CMS-1450 form of the UB-04 form plays an important role in filing claims. Designed to promote uniform billing across medical institutes, the UB-04 contains 81 fields called Form Locators

To understand the term Carrier Block one must have a good understanding of the CMS-1500 claim form. What is the CMS-1500 claim form? According to the Centers for Medicare

Provider Transaction Access Number (PTAN) or Medicare legacy number refers to the code assigned to the Medicare service providers. The purpose of the legacy number is to identify

The health care industry serves thousands of Medicare patients regularly. Some of these patients are treated using non-surgical procedures while others are required to undergo surgical

Definition of DRG In medical billing, the term DRG stands for Diagnosis-related Groups—a system created to control care costs or standardize reimbursement rates.