Medicare Advantage plans, also known as Part C, are a type of health insurance plan offered by private companies approved by Medicare. They provide all the coverage of Original Medicare (Part A and Part B), as well as additional benefits like vision, dental, and prescription drug coverage. In this article, we will discuss the top 10 Medicare Advantage plans. Humana: … [Read more...] about Understanding the Top 10 Medicare Advantage plans
Medicare & Medicaid
Evaluation and Management Codes Guideline Changes 2023
Effective January 1, 2023, E/M Introductory Guidelines related to Hospital Inpatient and Observation Care Services codes 99221-99223, 99231-99239, Consultations codes 99242- 99245, 99252 99255, Emergency Department Services codes 99281-99285, Nursing Facility Services codes 99304-99310, 99315, 99316, Home or Residence Services codes 99341, 99342, 99344, 99345, … [Read more...] about Evaluation and Management Codes Guideline Changes 2023
Medicaid Coverage and CPT Codes for Orthodontics
Orthodontics is a subspecialty of dentistry. The term "orthodontics" is made up of two Greek words: "orthos," which means "straight or correct," and "dontics," which means "teeth." Thus, orthodontics refers to the practice of straightening misaligned teeth or malocclusions. Orthodontists are dentists who specialize in the Treatment of abnormal tooth, jaw, and face … [Read more...] about Medicaid Coverage and CPT Codes for Orthodontics
Complete Medicare Denial Codes List – Updated
Medicare denial codes provide or describe the standard information to a patient or provider by an insurances about why a claim was denied. This is the standard format followed by all insurance companies for relieving the burden on the medical providers. MACs (Medicare Administrative Contractors) use appropriate group, claim adjustment reason, or remittance advice remark codes … [Read more...] about Complete Medicare Denial Codes List – Updated
Most Important Key Performance Indicators (KPIs)
Introduction: A healthcare key performance indicator (KPI) or metric is a well-defined measurement of performance to monitor, evaluate, and optimize all essential healthcare operations to maximize patient satisfaction. Many of these measurements are hospital-specific key performance indicators. Care institutions typically utilize these indicators to compare their … [Read more...] about Most Important Key Performance Indicators (KPIs)
