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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.
June 27, 2020

What is Fee Schedule in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) define the fee schedule as…
June 26, 2020

What is MUE in Medical Billing

Developed by the Centers for Medicare and Medicaid Services (CMS) the Medically Unlikely…
June 25, 2020

What is Downcoding in Medical Billing

In the health care industry claim denials and fraud are quite common due…
June 23, 2020

What is Carcinoma in Medical Billing

Carcinoma refers to a type of cancer that begins in the epithelial tissue…
June 22, 2020

What is Contractual in Medical Billing

Based on the general understanding, a contractual adjustment may be defined in the…
June 21, 2020

Correct use of CPT Modifiers to Maximize Reimbursement

According to the Current Procedural Terminology (CPT) book, a modifier is a “means…
June 20, 2020

What is Preauthorization in Medical Billing

CMS defines preauthorization as “a process through which a request for provisional affirmation…
June 19, 2020

Top 5 Reasons why Dental Claims are Denied

Like any other area of practice in medicine, dental practice treats hundreds of…
June 18, 2020

What is EHR and Advantages of EHR

According to Healthit.gov, Electronic Health Record (EHR) is defined as a “digital version…
June 12, 2020

What is a Smart Edit in Medical Billing

Reviewing medical claims manually is quite a tough task. Moreover, manual submission of…
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…
June 4, 2020

What is Coinsurance in Medical Billing

When it comes to health care insurance and medical claims, there are a…
June 2, 2020

What is an Adjudication Date in Medical Billing

In the health care industry, every hospital relies on insurance companies for the…
June 2, 2020

What is a LOP in Medical Billing

A letter of protection (LOP) is a legal document designed to protect an…
June 1, 2020

What is an Aging Report in Medical Billing

Hospitals are required to review revenue reports every month. These reports help a…
May 29, 2020

What is the Advance Beneficiary Notice (ABN) in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) outlines that “the ABN is…
May 29, 2020

Understanding COBRA in Medical Billing: Eligibility Criterias & Benefits

COBRA stands for Consolidated Omnibus Budget Reconciliation Act. It is related to the…
May 29, 2020

What is Accounts Receivable in Medical Billing

In medical billing, the term accounts receivable (A/R) refers to the money that…
May 29, 2020

What is Double Billing in Medical Billing

The health care industry runs on continuous cash inflow from various sources like…
May 28, 2020

What is a Superbill in Medical Billing

In medical billing, a superbill is a detailed invoice or receipt outlining the…
May 28, 2020

What are AR Days in Medical Billing

The term A/R days or accounts receivable days may be defined as the…
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