Consulting

[ad_1] Medical claim forms are an essential component of the medical billing process. In simpler terms, a medical claim form is a formal written request that a healthcare provider submits to an insurance company, Medicare or Medicaid, or another affiliated entity seeking compensation for the healthcare services provided to a patient. Healthcare providers firmly believe […]

[ad_1] Accurate and timely claim processing is crucial for smooth operations in healthcare. The UB-04 claim form, also known as the UB92 or CMS-1450 form, plays an important role in this process, serving as the standardized format for submitting medical billing claims to insurance companies by institutional healthcare providers. Any healthcare provider filling out false […]

[ad_1] As a doctor, have you ever had a patient who was overjoyed after a successful procedure only to return crestfallen a few weeks later upon receiving an exorbitant bill? Or have you, as a patient, left a hospital visit feeling relieved and assuming your insurance would cover the costs, only to be stunned by […]

[ad_1] The Medicare program has developed a new system to grade doctors on how well they treat their patients. It’s called the Merit-based Incentive Payment System or MIPS for short. MIPS decides how much money Medicare will pay doctors for seeing people on Medicare. It looks at things like how healthy doctors keep their patients, […]

[ad_1] You may be running a clinic or working as a physician in a hospital anywhere in the USA. In that case, you know that the patients get insurance on the medical services they receive from any provider. But in some cases, you may have experienced patients visiting you without insurance plans for their treatments. […]

[ad_1] In the medical billing field, a “SUPERBILL” is a document that provides a detailed invoice of the services provided by a healthcare provider to their patient. Typically, superbills are created and submitted for each treatment session conducted by an out-of-network provider. Once the doctor has concluded their work with the patient, payment is collected […]

[ad_1] Navigate The Difficulty Of Medicare 8-Minute Rule Billing? Lets schedule a free 1:1 therapy billing services with me right now! Medicare, known for its strict regulations on claim filing and reimbursement, requires careful adherence to its rules to ensure proper patient care and compliance. One such regulation is the “Medicare 8-Minute Rule”. This rule […]

[ad_1] Need Help In Choosing The Best Reimbursement Model For Your Practice? Lets schedule a free 1:1 billing consultation with me right now! “Reimbursement”. It’s a fancy ten-dollar word for plain old payment. But in healthcare, it means everything. Reimbursement in the medical world translates into a provider or healthcare facility collecting payments from the […]

[ad_1] Schedule Free Billing Consultancy! Need help with billing? Let’s talk. An Explanation of Benefits (EOB) is equally important for patients and providers. It helps identify billing errors in claims and enables providers to fix them to avoid claim denials. EOBs improve the overall effectiveness of billing and patient communication in medical practices. The healthcare […]

[ad_1] In the world of healthcare billing, two key terms often come up: institutional claims and professional claims. Now, some bills are for the doctor’s service (professional), while others are for the hospital itself (institutional) explaining who’s charging for what – the doctor or the hospital. Knowing the difference between these two is crucial for […]