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What is POS 11 in Medical Billing?

You see, when doctors and other healthcare providers deliver care, they do it in settings like hospitals, private practices, clinics, or medical offices. These are smaller, community-focused places, not big government or corporate entities. And in billing codes, these settings are referred to as the “place of service”, or POS. For example, POS 11 means […]
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CPT Codes for Shingles Vaccine

As healthcare providers, we frequently see patients concerned about shingles. Shingles is an unpleasant condition caused by the varicella-zoster virus, the same virus that causes chickenpox. While anyone can get shingles, the risk increases with age. Shingles appears as a painful rash and blistering skin condition that can last for weeks. For patients concerned about […]
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What is ERA in Medical Billing: A Provider Guide

Imagine a busy clinic where stacks of paper EOBs (Explanation of Benefits) are piling up on the billing manager’s desk. Every day they spend more time manually entering payment details, chasing down discrepancies, and trying to decipher handwritten notes from various insurance companies. It’s like trying to juggle flaming torching while riding a unicycle. Now, […]
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Top 10 Provider Payment Systems in Healthcare

As a healthcare provider, you need a simple and smooth payment way. Getting paid right for your services can be tricky until you find the best method. Here we will share some common provider payment systems used in healthcare. So you can pick what is right for your needs. The goal is to find a […]
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Non-Participating Provider Letter to Patients: Editable Samples & Writing Guide

As the saying goes, forewarned is forearmed. But when that medical bill shows up inflated like a hot air balloon, patients are left scratching their heads wondering what happened. The culprit? Non-participating providers who don’t play by the insurance rules. Therefore, healthcare providers must learn how to write to patients explaining the non-PAR puzzle to […]
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What is Medicaid Spenddown? – ProcareMedex

The golden years are meant to be enjoyed, not fretted over finances. But for elderly folks living hand to mouth on meager pensions or social security, healthcare expenses can be an unbearable burden. Medicaid aims to lift that burden! This federal program provides medical insurance to those who can’t otherwise afford it. For millions of […]
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“I hate my patients”, What To Do If You Start Disliking Your Patients?

Doctors may start hating their patients due to compassion fatigue, feeling disrespected, systemic burnout, and moral distress. When this happens, they should reconnect with their purpose, set boundaries, focus on wins, build support systems, practice self-care, seek professional help, advocate for change, and remember the human connection. On a lighter note, if dealing with chatty […]
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Out-of-Network Medical Billing Guide – ProcareMedex

When it comes to medical billing, “in-network” and “out-of-network” sound like slippery phrases. But at their core, they’re simple. In-network means healthcare providers partnered with an insurance company. Out-of-network means no partnership with an insurance company. And this matters for reimbursements! With in-network providers, insurance companies negotiate rates and oversee payments. But with out-of-network, no […]
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