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Revenue Cycle Management
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Patient Billing
Payment Posting
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Recredentialing
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Fee Schedule Updation
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Actionable tips and insights to help your practice grow and run smarter

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Simply reacting isn't enough; true success comes from a proactive approach. Stay informed about key healthcare trends to anticipate and shape the future of care.
July 13, 2020
Gross Collection Ratio vs. Net Collection Ratio
Every medical institution requires a continuous flow of income to be able to…
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July 12, 2020
Significance of revenue cycle management in the healthcare sector
One of the most imperative issues in the healthcare sector is revenue collection.…
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July 11, 2020
What is Medigap in Medical Billing
The Centers for Medicare and Medicaid Services (CMS) outlines that “a Medigap policy…
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July 10, 2020
Avoiding Electronic Data Interchange Claim Rejections
Electronic data interchange claim rejections are quite common and tend to affect the…
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July 9, 2020
What are some of the Best Software for Medical Billing
Medical billing plays an important role in revenue generation from various sources like…
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July 8, 2020
What is Payer Mix in Hospitals
Hospitals generate revenue from federal insurance programs, private insurance payers, and self-paying patients.…
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July 6, 2020
Types of Billing for Accounts Receivable
There are various ways to bill accounts receivable in the world of business.…
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June 29, 2020
What is the Difference between Hospital and Physician Billing
In layman’s term, both hospital billing and physician billing, fall under the umbrella…
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June 28, 2020
What is the Difference between UB04 and CMS 1500
The UB-04 and CMS-1500 forms are designed and maintained by the National Uniform…
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June 27, 2020
What is Fee Schedule in Medical Billing
The Centers for Medicare and Medicaid Services (CMS) define the fee schedule as…
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June 26, 2020
What is MUE in Medical Billing
Developed by the Centers for Medicare and Medicaid Services (CMS) the Medically Unlikely…
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June 25, 2020
What is Downcoding in Medical Billing
In the health care industry claim denials and fraud are quite common due…
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June 23, 2020
What is Carcinoma in Medical Billing
Carcinoma refers to a type of cancer that begins in the epithelial tissue…
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June 22, 2020
What is Contractual in Medical Billing
Based on the general understanding, a contractual adjustment may be defined in the…
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June 21, 2020
Correct use of CPT Modifiers to Maximize Reimbursement
According to the Current Procedural Terminology (CPT) book, a modifier is a “means…
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June 20, 2020
What is Preauthorization in Medical Billing
CMS defines preauthorization as “a process through which a request for provisional affirmation…
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June 19, 2020
Top 5 Reasons why Dental Claims are Denied
Like any other area of practice in medicine, dental practice treats hundreds of…
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June 18, 2020
What is EHR and Advantages of EHR
According to Healthit.gov, Electronic Health Record (EHR) is defined as a “digital version…
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June 12, 2020
What is a Smart Edit in Medical Billing
Reviewing medical claims manually is quite a tough task. Moreover, manual submission of…
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June 12, 2020
What is a Vendor Submitter ID in Medical Billing
To understand the term Vendor Submitter ID is it important to understand the…
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June 4, 2020
What is Coinsurance in Medical Billing
When it comes to health care insurance and medical claims, there are a…
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3838 N Sam Houston Pkwy E. Suite 290 Houston, TX. 77032
888-444-6041
thinkgrowth@caplineservices.com
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