Introduction: In the complex world of healthcare, accurate coding is essential for proper documentation, billing, and reimbursement processes. Two widely utilized coding systems in the United States are HCPCS (Healthcare Common Procedure Coding System) codes and CPT (Current Procedural Terminology) codes. While both systems serve the purpose of coding medical procedures and … [Read more...] about Understanding the Difference between HCPCS Codes and CPT Codes in Medical Billing
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Understanding the Top 10 Medicare Advantage plans
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
Top 10 Urgent Care EMRs/EHRs in 2023
As of 2023, the field of urgent care medicine has continued to grow at a rapid pace, driven in large part by the increasing demand for high-quality, accessible healthcare services. To meet this demand, healthcare providers have increasingly turned to electronic medical records (EMRs) as a means of streamlining and improving their operations. Urgent care EMRs in 2023 have come a … [Read more...] about Top 10 Urgent Care EMRs/EHRs in 2023
Key things to consider for effective follow-up with insurance for medical claims
Effective claims follow-up with insurance refers to the process of ensuring that claims for medical services are properly submitted, tracked, and resolved in a timely manner. This includes submitting claims as soon as possible after services are rendered, using the correct ICD-10 and CPT codes, adhering to billing regulations and guidelines, following up on denied or unpaid … [Read more...] about Key things to consider for effective follow-up with insurance for medical claims
How to check UCR rate for an out-of-network claim by state and region
An out-of-network provider is a healthcare provider or facility that does not have a contract with your insurance company. If you receive care from an out-of-network provider, you may be responsible for a greater share of the cost. The customary rate for an Out of network claim is the rate or amount that is typically charged by providers for a specific service or procedure in a … [Read more...] about How to check UCR rate for an out-of-network claim by state and region
