Blogs

As a Medicaid billing consultant with 12+ years of experience, I’ve seen firsthand how misunderstandings about fee-for-service (FFS) Medicaid lead to claim denials and lost revenue. As a Medicaid billing specialist who’s helped clinics recover over $1.2M in denied claims. I’ll break down exactly how FFS Medicaid works, share state-specific tips, and reveal proven strategies to maximize reimbursements.

Navigating the field of medical billing may be overwhelming, especially while you’re handling a big array of HCPC codes that decide repayment for healthcare services. However, knowledge of the Healthcare Common Procedure Coding System (HCPCS) is critical for healthcare providers, medical coders, and billing professionals. These codes ensure proper documentation and help talk medical services and tactics as they should be to insurers.

Ultrasound has appeared as an important diagnostic tool within the clinical area, conveying a non-invasive way to visualize inner organs, tissues, and blood vessels. However, coding these approaches effectively is vital for ensuring right reimbursement and accurate medical statistics. In this guide, we’re working to explore the ultrasound CPT codes, together with today’s updates for 2024, and the way they follow numerous medical specialities.

Chronic Care Management (CCM) plays an important role in improve healthcare for patients with long-term conditions. Medicare recognizes CCM services as essential in reduced healthcare costs while ensuring better patient care. These services involve constant care coordination, medication management, and patient education for individuals with multiple chronic conditions expected to last at least 12 months or until the patient’s passing.

Electronic Health Record (EHR) software program is a virtual model of a patient’s paper chart. It lets in real-time, patient-focused data, making facts instantly available to authorized users. The EHR software program serves the purpose of improving information sharing amongst healthcare providers and making sure of outstanding patient care.

An Internal Control Number (ICN) is a unique 13-digit identifier assigned to healthcare claims during processing. It acts as a digital fingerprint, enabling providers and payers (like Medicare) to track claims, resolve disputes, and ensure accurate reimbursement.

Assignment of Benefits (AOB) is a cornerstone of medical billing, but misunderstandings can lead to claim denials, compliance risks, and frustrated patients. Let’s clarify AOBs from forms to state laws and prepare you with actionable strategies to simplify your revenue cycle.

chiropractic CPT codes can be difficult, but it’s essential for make sure right compensation and compliance within a chiropractic practice. Understanding which codes to apply for extraordinary medications and reviews enables streamline your billing technique and ensures that your exercise gets paid for the services rendered.

Health insurance eligibility verification is a critical step in the medical billing process. Skipping it can lead to claim denials, delayed payments, and frustrated patients. In this guide, we’ll break down how to verify insurance eligibility and benefits, the tools to simplify the process, and why it’s essential for healthcare providers.