Category: Blog

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

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.

Definition of Modifier-52 In the CPT® Appendix A, Modifier-52 is stated to be used “under certain circumstances a service or procedure is partially reduced or eliminated at the physician’s discretion.

Outsourcing has changed the face of many businesses including the medical industry. It allows a firm to outsource certain services that are essential for customer satisfaction and business to grow

Definition of CPT-In medical billing, the term CPT stands for Current Procedural Terminology—a code system created by the American Medical Association (AMA)

To ensure cash inflow, all the medical institutions are required to manage the revenue cycle by accelerating the reimbursement process. However, achieving maximum reimbursement

Sometimes Medicare patients visit the same physician for a different medical service either on the same or the next day. In such a case the physician is required to keep track of his productivity

Claim submission is a vital process in medical billing to generate reimbursement. But before generating any claim submissions hospitals are required to generate a bill charging the patient